Samuel Ernest Landrum, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3492 Issued in MS

Practice address

220 S Curran Ave
Suite B
Picayune, MS 39466-4524

Phone

(601) 749-8145

Fax

(601) 749-8146

NPI assigned

Jul 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Picayune Physical Therapy CenterGroup PAC ID 2860465945, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Picayune Physical Therapy Center

  • Physical Therapist
  • Picayune, MS
  • NPI 1295817153
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235151135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S CURRAN AVE",
            "address_2": "SUITE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664524",
            "telephone_number": "601-749-8145",
            "fax_number": "601-749-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CURRAN AVE",
            "address_2": "SUITE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664524",
            "telephone_number": "601-749-8145",
            "fax_number": "601-749-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "SAMUEL",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Denay Ladner, FNP-C
• Casey Lafontaine, OT
• Lambert Therapy Services of Picayune, LLC
• John L Land, PCMHT
• Chantelle Lynn Landrum
• Lawrence M. Slocki, MD
• Tiffany Gayle Lee, CPNP-PC
• Katherine Lewie, REGISTERED DIETITIAN
• Christian Litz, PT, DPT
• Ludwick Louis Lohnes, DC

• Physical Therapist in Picayune, MS
• Providers in Picayune, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.