Individual provider Active NPI

Bobbette Grace Partridge, LMT,MMP

  • Mechanotherapist
  • Meridian, MS
National Provider Identifier
1235386210
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
LMT 359 Issued in MS
Practice address
1201 22ND Ave Ste a
Meridian, MS 39301-4010
Phone
(601) 482-1008
Fax
(601) 482-3444
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X LMT 359 MS Primary

Addresses

Primary practice location

1201 22ND Ave Ste a
Meridian, MS 39301-4010

Mailing address

1201 22ND Ave Ste a
Meridian, MS 39301-4010
Phone (601) 482-1008

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMT 359MSMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1235386210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 22ND AVE STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014010",
            "telephone_number": "601-482-1008",
            "fax_number": "601-482-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 22ND AVE STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014010",
            "telephone_number": "601-482-1008",
            "fax_number": "601-482-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "BOBBETTE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LMT,MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MS",
            "license": "LMT 359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.