Individual provider Active NPI

Amy Parker, PT, DPT, COMT

  • Physical Therapist
  • Hattiesburg, MS
National Provider Identifier
1245683812
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3982 Issued in MS
Practice address
498 Tuscan Ave
Wcu Box 9
Hattiesburg, MS 39401-5461
Phone
(601) 318-6713
Fax
(601) 318-6585
NPI assigned
Jul 19, 2016
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 PT3982 MS Primary

Addresses

Primary practice location

498 Tuscan Ave
Wcu Box 9
Hattiesburg, MS 39401-5461

Mailing address

498 Tuscan Ave
Wcu Box 9
Hattiesburg, MS 39401-5461
Phone (601) 318-6713

Other practice location 1

1229 Highway 42 Ste 260
Petal, MS 39465-2733
Phone (601) 929-2925

Other practice location 2

103 Medical Park Fl 1
Hattiesburg, MS 39401-9042
Phone (601) 268-5757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828003181 MS Practitioner - Physical Therapist in Private Practice 5799057683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Hattiesburg Clinic PA CurrentSince Feb 27, 2023 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Feb 27, 2023 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past 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

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

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

103 Medical Park
Fl 1
Hattiesburg, MS 39401
Phone (601) 268-5630

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

1229 Highway 42
Ste 260
Petal, MS 39465
Phone (601) 909-2925

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1245683812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 TUSCAN AVE",
            "address_2": "WCU BOX 9",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015461",
            "telephone_number": "601-318-6713",
            "fax_number": "601-318-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 TUSCAN AVE",
            "address_2": "WCU BOX 9",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015461",
            "telephone_number": "601-318-6713",
            "fax_number": "601-318-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Highway 42 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394652733",
            "country_code": "US",
            "telephone_number": "601-929-2925",
            "fax_number": "601-929-2952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Medical Park Fl 1",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394019042",
            "country_code": "US",
            "telephone_number": "601-268-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.