Individual provider Active NPI

Spencer L Shoemaker, DPT

  • Physical Therapist
  • Brandon, MS
National Provider Identifier
1174047054
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6270 Issued in MS
Practice address
920 Municipal Dr
Brandon, MS 39042-2973
Phone
(601) 724-8886
Fax
(601) 724-8887
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 PT6270 MS Primary

Addresses

Primary practice location

920 Municipal Dr
Brandon, MS 39042-2973

Mailing address

920 Municipal Dr
Brandon, MS 39042-2973
Phone (601) 724-8886

Other practice location 1

1301 W Government St Ste 104
Brandon, MS 39042-3196
Phone (601) 591-7535

Other practice location 2

119 Colony Crossing Way Ste 820
Madison, MS 39110-6330
Phone (769) 289-2890

Other practice location 3

2990 Highway 49 S Ste A
Florence, MS 39073-9523
Phone (601) 891-8179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830003650 MS Practitioner - Physical Therapist in Private Practice 5193098861 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Therapy LLCGroup PAC ID 7012971047, 86 clinicians

Practice addresses (Care Compare)

201 S Brooks Ave
Pelahatchie, MS 39145
Phone (601) 759-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6270MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Performance Therapy LLC Physical Therapist CurrentSince Feb 11, 2019 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Peak Therapy LLC Physical Therapist CurrentSince May 18, 2026 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

920 Municipal Dr
Brandon, MS 39042
Phone (601) 724-8886

904 Municipal Dr
Brandon, MS 39042
Phone (601) 724-7310

1301 W Government St
Ste 104
Brandon, MS 39042
Phone (601) 591-7535

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

2990 Highway 49 S
Ste A
Florence, MS 39073
Phone (601) 891-8179

119 Colony Crossing Way
Ste 820
Madison, MS 39110
Phone (769) 289-2890

1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002

921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1174047054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MUNICIPAL DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422973",
            "telephone_number": "601-724-8886",
            "fax_number": "601-724-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MUNICIPAL DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422973",
            "telephone_number": "601-724-8886",
            "fax_number": "601-724-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W Government St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423196",
            "country_code": "US",
            "telephone_number": "601-591-7535",
            "fax_number": "601-591-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Colony Crossing Way Ste 820",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106330",
            "country_code": "US",
            "telephone_number": "769-289-2890",
            "fax_number": "769-289-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2990 Highway 49 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MS",
            "postal_code": "390739523",
            "country_code": "US",
            "telephone_number": "601-891-8179",
            "fax_number": "601-891-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "SPENCER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.