Madeline King, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7763 Issued in MS

Practice address

254 Dogwood Blvd Ste 10
Flowood, MS 39232-8602

Phone

(601) 203-3032

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exceed Pelvic Health LLCGroup PAC ID 6406320795, 2 clinicians

Mississippi Spine and Pelvic Health Physical Therapy LLCGroup PAC ID 8325436884, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mississippi Spine and Pelvic Health Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
  • NPI 1710654686

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1124859913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BAY TREE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328324",
            "telephone_number": "228-861-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 DOGWOOD BLVD STE 10",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328602",
            "telephone_number": "601-203-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MADELINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Kilpatrick
• Bomee Kim, OD
• Edra S Kimmel, MD
• Kincaid Dental Center
• Amy Prestage King, MOTR/L
• Michael Shane King, CRNA
• Caroline Kitchens, PHARMD
• Max Keith Klaus, D.M.D.
• Sara Marie Klaus, NP
• Lance P Klein, NP

• Physical Therapist in Flowood, MS
• Providers in Flowood, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.