Individual provider Active NPI

Joel Maier, DPT

  • Physical Therapist
  • Canton, MS
National Provider Identifier
1124541503
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6222 Issued in MS
Practice address
300 Nissan Dr
Canton, MS 39046-8562
Phone
(601) 855-6010
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6222 MS Primary

Addresses

Primary practice location

300 Nissan Dr
Canton, MS 39046-8562

Mailing address

1063 Bayberry Dr
Flowood, MS 39232-8494

Other practice location 1

2015 Highpointe Dr
Brandon, MS 39042-3169
Phone (601) 724-7310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190409000201 MS Practitioner - Physical Therapist in Private Practice 8426399007 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6222MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Synergy Myofascial Release & Rehab, Inc. Physical Therapist CurrentSince Feb 15, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

2015 Highpointe Dr
Brandon, MS 39042
Phone (601) 724-7310

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

437 Katherine Dr
Flowood, MS 39232
Phone (601) 398-3171

1105 Sunwood Dr
Ste 2
Grenada, MS 38901
Phone (662) 307-7151

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1124541503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 BAYBERRY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NISSAN DR",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468562",
            "telephone_number": "601-855-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Highpointe Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423169",
            "country_code": "US",
            "telephone_number": "601-724-7310",
            "fax_number": "601-724-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIER",
        "first_name": "JOEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.