Alex Terrill Isom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6453 Issued in MS

Practice address

2670 McIngvale Rd Ste J
Hernando, MS 38632-8696

Phone

(901) 641-3000

Fax

(901) 701-2428

NPI assigned

Jun 5, 2018

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MSK Group PCGroup PAC ID 4688574262, shared by 10 NPIs, 138 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Rehabilitation of Batesville Inc

  • Physical Therapist
  • Batesville, MS
  • NPI 1639114390
  Medicare reassignment NPD
• Cornerstone Rehabilitation of Senatobia Inc

  • Physical Therapist
  • Senatobia, MS
  • NPI 1043246192
  Medicare reassignment NPD
• Cornerstone Rehabilitation, Inc

  • Physical Therapist
  • Water Valley, MS
  • NPI 1093751539
  Medicare reassignment NPD
• MSK Group PC

  dba OrthoSouth

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447

  Physical Therapist

  Medicare reassignment NPD
• MSK Group, PC

  dba OrthoSouth

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1376541409

  Physical Therapist

  Medicare reassignment NPD
• MSK Group, PC

  dba OrthoSouth

  • Physical Therapist
  • Southaven, MS
  • NPI 1114793189
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1275025223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MCINGVALE RD STE J",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328696",
            "telephone_number": "901-641-3000",
            "fax_number": "901-701-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MCINGVALE RD STE J",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328696",
            "telephone_number": "901-641-3000",
            "fax_number": "901-701-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Primacy Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190201",
            "country_code": "US",
            "telephone_number": "901-767-8690",
            "fax_number": "901-763-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISOM",
        "first_name": "ALEX",
        "middle_name": "TERRILL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP002847T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Rashelle Hudson
• Claire Humphries
• Katie Hunt
• In Focus Psychiatry LLC
• Abigail Isbell, DPT
• Ruthie Ann James, LMSW
• Kelsi Alexis Jamison, PHARMD
• JCC, LLC (Children's Dental Center)
• Bobbie Jo Johnston
• Elizabeth Jolly

• Physical Therapist in Hernando, MS
• Providers in Hernando, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.