Active NPI
John Marty Cheeks, PT, DPT, DHS
- Physical Therapist
- Collins, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1024
- Practice address
- 710 Main St Ste 10
Collins, MS 39428-6293 - Phone
- (610) 340-6872
- NPI assigned
- Aug 29, 2017
- Last updated
- Jul 21, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1024 | MS | Primary |
| Physical Therapist | 225100000X | PTH8602 | AL | |
| Ergonomics Physical Therapist | 2251E1200X | PT4356 | AR | |
| Geriatric Physical Therapist | 2251G0304X | 07743R | LA | |
| Orthopedic Physical Therapist | 2251X0800X | PT21734 | FL |
Addresses
Primary practice location
710 Main St Ste 10
Collins, MS 39428-6293
Mailing address
580 Myrick Strengthford Rd
Laurel, MS 39443-7346
Phone (601) 323-7757
Other practice location 1
580 Myrick Strengthford Rd
Laurel, MS 39443-7346
Phone (601) 323-7757
Other practice location 2
1229 Highway 42 Ste 260
Petal, MS 39465-2733
Phone (601) 909-2925
Other practice location 3
1713 Montgomery Hwy Ste 131
Hoover, AL 35244-1254
Phone (205) 403-8701
Other practice location 4
91 Hal Crocker Rd
Ellisville, MS 39437-0361
Phone (601) 722-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170928001291 | MS | Practitioner - Physical Therapist in Private Practice | 3173897246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH8602 | AL | MD | Physical Therapist |
| PT1024 | MS | MD | Physical Therapist |
| PT4356 | AR | MD | Ergonomics Physical Therapist |
| 07743R | LA | MD | Geriatric Physical Therapist |
| PT21734 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of Alabama, LLC | Physical Therapist | Past | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
-
- Physical Therapist
- Hoover, AL
- NPI 1295084150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316464316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 MYRICK STRENGTHFORD RD",
"city": "LAUREL",
"state": "MS",
"postal_code": "394437346",
"telephone_number": "601-323-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 MAIN ST STE 10",
"city": "COLLINS",
"state": "MS",
"postal_code": "394286293",
"telephone_number": "610-340-6872"
}
],
"practiceLocations": [
{
"address_1": "580 Myrick Strengthford Rd",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MS",
"postal_code": "394437346",
"country_code": "US",
"telephone_number": "601-323-7757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1229 Highway 42 Ste 260",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394652733",
"country_code": "US",
"telephone_number": "601-909-2925",
"fax_number": "601-909-2952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1713 Montgomery Hwy Ste 131",
"address_purpose": "LOCATION",
"city": "Hoover",
"state": "AL",
"postal_code": "352441254",
"country_code": "US",
"telephone_number": "205-403-8701",
"fax_number": "205-403-8702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91 Hal Crocker Rd",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MS",
"postal_code": "394370361",
"country_code": "US",
"telephone_number": "601-722-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEEKS",
"first_name": "JOHN",
"middle_name": "MARTY",
"name_prefix": "Dr.",
"credential": "PT, DPT, DHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-29",
"last_updated": "2022-07-21",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1024",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH8602",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "AR",
"license": "PT4356",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "LA",
"license": "07743R",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT21734",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collins, MS
Sources for this page
- 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.