Raven Nicole Necaise, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-7653 Issued in MS

Practice address

12261 Highway 49 Ste 1
Gulfport, MS 39503-2976

Phone

(228) 265-7185

NPI assigned

Nov 7, 2023

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, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Exceed Pelvic Health LLCGroup PAC ID 6406320795, 2 clinicians

Family Physical Therapy of South MsGroup PAC ID 0941217335, 5 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.

• Family Physical Therapy of South Ms

  • Physical Therapy Clinic/Center
  • Long Beach, MS
  • NPI 1871716506
  Medicare reassignment Care Compare group NPD
• Exceed of Ms, LLC

  • Physical Therapist
  • Biloxi, MS
  • NPI 1023895398
  NPD
• Exceed Physical Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1023508348
  NPD
• Family Physical Therapy of South Ms LLC

  • Orthopedic Physical Therapist
  • Long Beach, MS
  • NPI 1932362324
  NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1124892583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 HIGHWAY 49 STE 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12261 HIGHWAY 49 STE 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032976",
            "telephone_number": "228-265-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECAISE",
        "first_name": "RAVEN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT-7653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Michelle Nations, M.D.
• Logan Nault, RBT
• NBHC Gulfport Ms
• Stephanie Ann Necaise Cooper, PHARM-D
• Michael J Necaise, RNFA, CNOR
• Lauren K Neeley, LMSW
• Ashonti Nelson
• Tawanda Nelson, R N
• Kalin Nester, LMSW
• Sachin Neupane, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.