Individual provider Active NPI

Matthew Thomas Craighead, PT, DPT

  • Physical Therapist
  • Southaven, MS
National Provider Identifier
1245995364
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7689 Issued in MS
Practice address
7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Phone
(901) 261-2506
Fax
(901) 261-2590
NPI assigned
Nov 3, 2021
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7689 MS Primary
Physical Therapist 225100000X 16799 TN

Addresses

Primary practice location

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 725-8347

Other practice location 1

6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023
Phone (901) 261-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211221000075 FL Practitioner - Physical Therapist in Private Practice 5294126553 Reassigns benefits to 1 organization
I20240424002655 MS Practitioner - Physical Therapist in Private Practice 5294126553 Reassigns benefits to 1 organization
I20260107001233 TN Practitioner - Physical Therapist in Private Practice 5294126553 Reassigns benefits to 1 organization

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
MSK Group PCGroup PAC ID 4688574262, 138 clinicians

Practice addresses (Care Compare)

6286 Briarcrest Ave
Memphis, TN 38120-4023

7111 Southcrest Pkwy
Suite 105
Southaven, MS 38671-4851
Phone (901) 261-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7689MSMDPhysical Therapist
16799TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
MSK Group PC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
MSK Group, PC Physical Therapist Past Accepting new patients

Locations

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

7111 Southcrest Pkwy
Ste 105
Southaven, MS 38671
Phone (901) 261-2506

7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

Organizations & group practices 5

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1245995364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-725-8347",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SOUTHCREST PKWY STE 105",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714851",
            "telephone_number": "901-261-2506",
            "fax_number": "901-261-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6286 Briarcrest Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204023",
            "country_code": "US",
            "telephone_number": "901-261-2506",
            "fax_number": "901-261-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIGHEAD",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7689",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.