Individual provider Active NPI

Jaime Craft, DPT

  • Physical Therapist
  • Magee, MS
National Provider Identifier
1265987234
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5087 Issued in MS
Practice address
110 Pioneer Way
Magee, MS 39111-5501
Phone
(601) 906-9392
NPI assigned
Aug 19, 2016
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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 PT5087 MS Primary

Addresses

Primary practice location

110 Pioneer Way
Magee, MS 39111-5501

Mailing address

110 Pioneer Way
Magee, MS 39111-5501
Phone (601) 906-9392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028001904 MS Practitioner - Physical Therapist in Private Practice 3476831256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2083 Therapy, LLCGroup PAC ID 4082976246, 11 clinicians

Practice addresses (Care Compare)

1151 Hwy 35 S
Apex Physical Therapy of Magee
Forest, MS 39074-8829
Phone (601) 469-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5087MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients
2083 Therapy, LLC CurrentSince Aug 13, 2018 Accepting new patients
2083 Therapy, LLC CurrentSince Aug 13, 2018 Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients

Locations

710 Main St
Ste 10
Collins, MS 39428
Phone (601) 340-6872

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

110 Pioneer Way
Magee, MS 39111

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

Organizations & group practices 4

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1265987234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PIONEER WAY",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391115501",
            "telephone_number": "601-906-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PIONEER WAY",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391115501",
            "telephone_number": "601-906-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "JAIME",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.