NPIMap

Organization Active NPI

MSK Group, PC

Doing business as OrthoSouth

  • Physical Therapist
  • Southaven, MS
National Provider Identifier
1114793189
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MSK GROUP, PC
Doing business as
OrthoSouth
Practice address
7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Phone
(901) 261-2506
Fax
(901) 261-2590
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MSK GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Ruscitto
Title
Cfo
Phone
(901) 641-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 641-3000

Other names 1

  • OrthoSouth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240715003746 MS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4688574262 Practice locations: Southaven, MS

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Orthopaedic Clin-DME19 organizations share this tax ID, including this one
Part of
The Orthopaedic Clin-DME

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

7900 Airways Blvd
Bldg B
Southaven, MS 38671
Phone (662) 349-2442

7900 Airways Blvd
Bldg B102
Southaven, MS 38671
Phone (662) 349-9023

5150 Airline Rd
Ste 400
Arlington, TN 38002
Phone (901) 507-1240

13690 Highway 51 S
Ste 104
Atoka, TN 38004
Phone (901) 259-4254

8010 Stage Hills Blvd
Bartlett, TN 38133
Phone (901) 937-3200

9950 Crooked Creek Rd
Collierville, TN 38017
Phone (662) 822-3298

1244 Primacy Pkwy
Memphis, TN 38119
Phone (901) 767-8662

1325 Eastmoreland Ave
Ste 155
Memphis, TN 38104
Phone (901) 725-8340

1325 Eastmoreland Ave
Ste 260
Memphis, TN 38104
Phone (901) 272-6051

3860 New Covington Pike
Ste 110
Memphis, TN 38128
Phone (901) 386-2607

3890 New Covington Pike
Ste 110
Memphis, TN 38128
Phone (901) 937-3201

3980 New Covington Pike
Ste 108
Memphis, TN 38128
Phone (901) 379-0703

3980 New Covington Pike
Ste 110
Memphis, TN 38128
Phone (901) 937-3201

3980 New Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 381-4664

6005 Park Ave
Ste 309
Memphis, TN 38119
Phone (901) 682-5642

6029 Walnut Grove Rd
Ste 403
Memphis, TN 38120
Phone (901) 261-7836

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 218

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 218

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1114793189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-641-3000",
            "fax_number": "901-701-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SOUTHCREST PKWY STE 105",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714851",
            "telephone_number": "901-261-2506",
            "fax_number": "901-261-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MSK GROUP, PC",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "RUSCITTO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-641-3000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoSouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.