James Bryson Kimbrough, DPT
Individual provider Active NPI Physical Therapist · Saltillo, MS
NPI 1255859617 · NPPES record last updated Sep 6, 2017
Key facts
- NPI
- 1255859617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6213 (MS)
- Practice address
- 2319 Highway 145
Saltillo, MS 38866-9199 - Phone
- (662) 869-9980
- Fax
- (662) 869-9970
- NPI assigned
- Sep 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Drayer Physical Therapy Mississippi LLC
Dpti Elite Physical Therapy LLC
Practice addresses (Care Compare)
117 Bo Bo Dr
Crystal Springs, MS 39059-2741
Phone (601) 892-6330
216 W Bankhead St
Suite a
New Albany, MS 38652-3326
Phone (662) 539-7046
2319 Hwy 145
Saltillo, MS 38866-9199
Phone (662) 869-9980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013000972 | MS | Practitioner - Physical Therapist in Private Practice | 6204101421 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Current |
Accepting new patients |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
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
715 Highway 45
Baldwyn, MS 38824
Phone (662) 365-5610
199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6213 | MS | Yes |
Addresses
Primary practice location
2319 Highway 145
Saltillo, MS 38866-9199
Mailing address
199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705
Other providers in Saltillo, MS
- Ashley H Johnson
- Mitchell Van Johnson
- Joshua E. Bostick, O.D., P.a.
- Julie C. Brock, O.D., Inc.
- Jennifer K Kendrick
- Jessica Patterson Koon
- Anna Katherine Lansdell
- Lynd Clinical, Inc.
- Claire Elise Lyons
- Martin Dental Clinic PA
All providers in Saltillo, 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 6, 2017. 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.