Active NPI
Tammy L Rouse, PT, MPH
- Physical Therapist
- D'Iberville, MS
National Provider Identifier
1306653704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3149
- Practice address
- 3400 Lickskillet Rd
Diberville, MS 39540-8160 - Phone
- (228) 217-5089
- Fax
- (228) 436-1586
- NPI assigned
- Dec 18, 2024
- Last updated
- Dec 18, 2024
- 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 | 3149 | MS | Primary |
Addresses
Primary practice location
3400 Lickskillet Rd
Diberville, MS 39540-8160
Mailing address
3400 Lickskillet Rd
Diberville, MS 39540-8160
Phone (228) 217-5089
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 |
|---|---|---|---|
| 3149 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1306653704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LICKSKILLET RD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395408160",
"telephone_number": "228-217-5089",
"fax_number": "228-436-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LICKSKILLET RD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395408160",
"telephone_number": "228-217-5089",
"fax_number": "228-436-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "TAMMY",
"middle_name": "L",
"credential": "PT, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "3149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in D'Iberville, MS
- Michael Dennis Rogers, PT
- Susan Owens Rojas, NP
- James Roland, PT, DPT
- Deena Roney, LCSW
- Melissa Rosintoski, PT, DPT
- Saad Enterprises, Inc. (Saad Home Health and Hospice of MS - HOS)
- Saad Enterprises, Inc. (Saad Home Health and Hospice of MS - HH)
- Saad Enterprises, Inc. (Saad Medical Equipment - D'Iberville)
- Saad Enterprises, Inc. (Saad Medical Clinic)
- Saad Medical Equipment, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.