Individual provider Active NPI

Kimberly Mychel McNair

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1275027443
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6798 Issued in MS
Practice address
5260 Cedar Park Dr Ste E2
Jackson, MS 39206-4131
Phone
(601) 966-1014
Fax
(866) 598-2650
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 6798 MS Primary

Addresses

Primary practice location

5260 Cedar Park Dr Ste E2
Jackson, MS 39206-4131

Mailing address

1225 Hubb Rd
Bolton, MS 39041-9149

Other practice location 1

1220 N Shore Pkwy
Brandon, MS 39047-6383
Phone (601) 829-0505

Other practice location 2

3737 Don Felipe Dr
Los Angeles, CA 90008-4210
Phone (323) 295-7737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126002416 MS Practitioner - Physical Therapist in Private Practice 6507299880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients
Inmotion Rehab LLC PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1275027443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HUBB RD",
            "city": "BOLTON",
            "state": "MS",
            "postal_code": "390419149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 CEDAR PARK DR STE E2",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064131",
            "telephone_number": "601-966-1014",
            "fax_number": "866-598-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 N Shore Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390476383",
            "country_code": "US",
            "telephone_number": "601-829-0505",
            "fax_number": "601-829-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Don Felipe Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900084210",
            "country_code": "US",
            "telephone_number": "323-295-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAIR",
        "first_name": "KIMBERLY",
        "middle_name": "MYCHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "6798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.