Picayune Physical Therapy Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT357 Issued in MS

Legal business name

PICAYUNE PHYSICAL THERAPY CENTER

Practice address

220 S Curran Ave
Suite B
Picayune, MS 39466-4524

Phone

(601) 749-8146

Fax

(601) 749-8147

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Daniel Boyd, P.T.NPI 1811918386

Title

Physical Therapist

Phone

(601) 749-8146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Ernest Landrum, P.T.

  • Physical Therapist
  • Picayune, MS
  • NPI 1235151135
  Medicare reassignment Care Compare group NPD
• Jana B Burge

  • Physical Therapist
  • Picayune, MS
  • NPI 1356944094
  Medicare reassignment Care Compare group
• Emily Mettlach Randall, PT, DPT

  • Orthopedic Physical Therapist
  • Slidell, LA
  • NPI 1558697995

  MS

  Medicare reassignment Care Compare group
• Brian Daniel Boyd, P.T.

  • Physical Therapist
  • Slidell, LA
  • NPI 1811918386
  NPD (past) Authorized official
• Lori Viguerie Hardin, MPT

  • Physical Therapist
  • Springfield, VA
  • NPI 1902916422
  NPD (past)
• Dayni Noel Langoni, P.T.

  • Physical Therapist
  • Terrytown, LA
  • NPI 1033257829
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295817153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S CURRAN AVE",
            "address_2": "SUITE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664524",
            "telephone_number": "601-749-8146",
            "fax_number": "601-749-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CURRAN AVE",
            "address_2": "SUITE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664524",
            "telephone_number": "601-749-8146",
            "fax_number": "601-749-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICAYUNE PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-749-8146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Picayune Family Practice Clinic, LLC
• Picayune General Dentistry, Inc.
• Picayune Homecare, LLC
• Picayune Medical & Health Supplies Inc
• Picayune Medical & Health Supplies Inc
• Picayune Rehabilitation and Healthcare Center, LLC
• Picayune Rural Health Clinic
• Picayune School District
• Picayune School District Early Head Start
• Picayune Smiles, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.