Active NPI
Natalie Renee Whitfield, DPT
- Physical Therapist
- Brandon, MS
National Provider Identifier
1295101475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5817
- Practice address
- 115 Village SQ Ste K
Brandon, MS 39047-6069 - Phone
- (601) 398-3171
- Fax
- (601) 292-7171
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5817 | MS | Primary |
Addresses
Primary practice location
115 Village SQ Ste K
Brandon, MS 39047-6069
Mailing address
115 Village SQ Ste K
Brandon, MS 39047-6069
Phone (601) 398-3171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5817 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Myofascial Release & Rehab, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Brandon, MS
- NPI 1093109639
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1295101475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 VILLAGE SQ STE K",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476069",
"telephone_number": "601-398-3171",
"fax_number": "601-292-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 VILLAGE SQ STE K",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476069",
"telephone_number": "601-398-3171",
"fax_number": "601-292-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFIELD",
"first_name": "NATALIE",
"middle_name": "RENEE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "5817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.