Active NPI
Blake Allen Wilhite, DPT
- Physical Therapist
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6981
- Practice address
- 104 Burney Dr
Flowood, MS 39232-6621 - Phone
- (601) 987-8202
- Fax
- (601) 718-0293
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6981 | MS | Primary |
| Physical Therapist | 225100000X | 10389 | LA |
Addresses
Primary practice location
104 Burney Dr
Flowood, MS 39232-6621
Mailing address
PO Box 30594
Charlotte, NC 28230-0594
Phone (601) 987-8202
Other practice location 1
1220 N Shore Pkwy Ste B
Brandon, MS 39047-6383
Phone (601) 829-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002978893 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Burney Dr
Flowood, MS 39232-6621
Phone (601) 987-8200
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.17 of 100
- Quality
- 82.12
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Orthopaedic Clinic PLLC | Current | Accepting new patients | |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Current | Accepting new patients |
| 5 Star Performance Center, LLC | Physical Therapist | Current | Accepting new patients |
| Winnsboro Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Capital Orthopaedic Clinic, PLLC | Current | Accepting new patients | |
| Ouachita Physical Therapy,Inc. | 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
1138 Oliver Rd
Monroe, LA 71201
Phone (318) 323-3031
1220 N Shore Pkwy
#B
Brandon, MS 39047
Phone (601) 829-0505
119 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1834
199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
104 Burney Dr
Flowood, MS 39232
Phone (601) 987-8202
4500 Lakeland Dr
Flowood, MS 39232
Phone (769) 251-1166
106 Highland Way
Ste 102
Madison, MS 39110
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Flowood, MS
- NPI 1770687881
-
- Physical Therapy Clinic/Center
- Flowood, MS
- NPI 1689150054
Physical Therapist
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
-
- Physical Therapy Clinic/Center
- Monroe, LA
- NPI 1144270125
Physical Therapist
-
- Physical Therapist
- Winnsboro, LA
- NPI 1053359083
-
- Orthopedic Physical Therapist
- Flowood, MS
- NPI 1184299273
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1295380293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30594",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282300594",
"telephone_number": "601-987-8202",
"fax_number": "601-718-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BURNEY DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392326621",
"telephone_number": "601-987-8202",
"fax_number": "601-718-0293"
}
],
"practiceLocations": [
{
"address_1": "1220 N Shore Pkwy Ste B",
"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"
}
],
"basic": {
"last_name": "WILHITE",
"first_name": "BLAKE",
"middle_name": "ALLEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6981",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10389",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002978893",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.