Jena Ball, PT
Individual provider Active NPI Physical Therapist · Ocean Springs, MS
NPI 1174948459 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1174948459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5071 (MS)
- Practice address
- 8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421 - Phone
- (228) 215-0521
- Fax
- (228) 215-0619
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lighthouse Therapy LLC
Practice addresses (Care Compare)
8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421
Phone (228) 875-5447
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140625001518 | MS | Practitioner - Physical Therapist in Private Practice | 7719102235 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5071 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740
5703 Gulf Tech Dr
Ocean Springs, MS 39564
Phone (228) 875-5447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5071 | MS | Yes |
Addresses
Primary practice location
8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421
Mailing address
5703 Gulf Tech Dr
Ocean Springs, MS 39564-8238
Phone (228) 875-5447
Other names
- Jena Des Jardins
Other providers in Ocean Springs, MS
- Alesha Rae Bailey
- Marian Bailey
- Justina Baklarz
- Michael Wayne Bales
- Christine Tracey Balius
- Cecilia T. Ballard
- Edward James Banas
- Susan Bankston
- Dipti Baral
- Cynthia L Barfield
All providers in Ocean Springs, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.