Individual provider Active NPI

John Marty Cheeks, PT, DPT, DHS

  • Physical Therapist
  • Collins, MS
National Provider Identifier
1316464316
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1024 Issued in MS
Practice address
710 Main St Ste 10
Collins, MS 39428-6293
Phone
(610) 340-6872
NPI assigned
Aug 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20170928001291 MS Practitioner - Physical Therapist in Private Practice 3173897246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8602ALMDPhysical Therapist
PT1024MSMDPhysical Therapist
PT4356ARMDErgonomics Physical Therapist
07743RLAMDGeriatric Physical Therapist
PT21734FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist PastSince Apr 2, 2018 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.

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.

Verify at the official NPI Registry.