Individual provider Active NPI

Myles Devin Rodgers, PT

  • Physical Therapist
  • Ripley, MS
National Provider Identifier
1144888900
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
710 City Ave N
Ripley, MS 38663-1615
Phone
(662) 837-6060
Fax
(662) 837-4060
NPI assigned
Jun 5, 2019
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 Primary

Addresses

Primary practice location

710 City Ave N
Ripley, MS 38663-1615

Mailing address

206B Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-4445

Other practice location 1

1215 Highway 98 Byp
Columbia, MS 39429-3702
Phone (601) 444-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001002912 MS Practitioner - Physical Therapist in Private Practice 6406186667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose and Throat Physicians of North Miss., P.aGroup PAC ID 8729053343, 22 clinicians

Practice addresses (Care Compare)

323 N Gloster St
Tupelo, MS 38804-3623
Phone (662) 840-7034

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 25, 2022 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 25, 2022 Accepting new patients
Ear, Nose & Throat Physicians of North Miss., P.a. CurrentSince Aug 4, 2025 Accepting new patients
Premier Radiology, Inc Past Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070

433 Main St
Leakesville, MS 39451
Phone (601) 394-4545

206B Oxford Rd
New Albany, MS 38652
Phone (662) 534-4445

2714 West Oxford Loop
Ste 164
Oxford, MS 38655
Phone (662) 232-8949

710 City Ave N
Ripley, MS 38663
Phone (662) 837-6060

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

323 N Gloster St
Tupelo, MS 38804
Phone (662) 840-7033

618 Pegram Dr
Tupelo, MS 38801
Phone (601) 841-3000

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1144888900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206B OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-4445",
            "fax_number": "662-534-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631615",
            "telephone_number": "662-837-6060",
            "fax_number": "662-837-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Highway 98 Byp",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MS",
            "postal_code": "394293702",
            "country_code": "US",
            "telephone_number": "601-444-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MYLES",
        "middle_name": "DEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.