Individual provider Active NPI

Kelby E Howell, DPT

  • Physical Therapist
  • Madison, MS
National Provider Identifier
1124858717
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7764 Issued in MS
Practice address
953 Highway 51
Madison, MS 39110-6007
Phone
(769) 867-8270
Fax
(769) 867-8273
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 PT7764 MS Primary

Addresses

Primary practice location

953 Highway 51
Madison, MS 39110-6007

Mailing address

PO Box 30594
Charlotte, NC 28230-0594
Phone (601) 987-8202

Other identifiers 1

IdentifierTypeStateIssuer
200013439MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821005189 MS Practitioner - Physical Therapist in Private Practice 8527507524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Spine and Pelvic Health Physical Therapy LLCGroup PAC ID 8325436884, 14 clinicians

Practice addresses (Care Compare)

1073 Hwy 51
Suite 107
Madison, MS 39110-9015
Phone (601) 203-3032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7764MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Spine and Pelvic Health Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2024 Accepting new patients
Capital Orthopaedic Clinic, PLLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

104 Burney Dr
Flowood, MS 39232
Phone (601) 987-8202

1073 Highway 51
Ste 107
Madison, MS 39110
Phone (601) 203-3032

953 Highway 51
Madison, MS 39110
Phone (769) 867-8270

106 Highland Way
Ste 102
Madison, MS 39110

1107 Highland Colony Pkwy
Ste 109
Ridgeland, MS 39157
Phone (601) 203-3032

Organizations & group practices 2

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1124858717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30594",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300594",
            "telephone_number": "601-987-8202",
            "fax_number": "601-718-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106007",
            "telephone_number": "769-867-8270",
            "fax_number": "769-867-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "KELBY",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200013439",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.