Active NPI
Karan Lynn Redditt
- Physical Therapist
- Flowood, MS
National Provider Identifier
1154584019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1436
- Practice address
- 2470 Flowood Drive
Flowood, MS 39232 - Phone
- (877) 554-4257
- Fax
- (601) 983-2845
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1436 | MS | Primary |
Addresses
Primary practice location
2470 Flowood Drive
Flowood, MS 39232
Mailing address
2470 Flowood Drive
Flowood, MS 39232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1436 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1154584019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 FLOWOOD DRIVE",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 FLOWOOD DRIVE",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "877-554-4257",
"fax_number": "601-983-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDITT",
"first_name": "KARAN",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "1436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.