Batson Physical Therapy, Inc.
Organization Active NPI Physical Therapy Clinic/Center · Wiggins, MS
NPI 1154430940 · NPPES record last updated Aug 22, 2011
Key facts
- NPI
- 1154430940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT2024 (MS)
- Legal business name
- BATSON PHYSICAL THERAPY, INC.
- Practice address
- 711 Hall St
Wiggins, MS 39577-2105 - Phone
- (601) 928-5511
- Fax
- (601) 928-6110
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tracey Duncan Batson, RPT
- Title
- President
- Phone
- (601) 928-5511
Practitioners 2
-
Tracey Duncan Batson, RPT
-
Jackson Thomas Cain, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000599 | MS | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 4981647393 | Practice locations: Wiggins, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT2024 | MS | Yes |
Addresses
Primary practice location
711 Hall St
Wiggins, MS 39577-2105
Mailing address
711 Hall St
Wiggins, MS 39577-2105
Phone (601) 928-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015507 | Medicaid | MS |
Other providers in Wiggins, MS
- Joshua Carmi Alderman III
- Audesi Home Care LLC
- Azalea Gardens Nursing Center, LLC
- Virginia Barham
- Tracey Duncan Batson
- Tyler Beall
- William Walton Beazley
- Heather N. Bond
- Wendalyn Bostic
All providers in Wiggins, MS · Physical Therapy Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.