Individual provider Active NPI

Jamie Stokes, D.P.T

  • Physical Therapist
  • Ridgeland, MS
National Provider Identifier
1336530914
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5617 Issued in MS
Practice address
665 S Pear Orchard Rd Ste 114
Ridgeland, MS 39157-4859
Phone
(769) 235-6788
Fax
(769) 235-6763
NPI assigned
Feb 18, 2015
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5617 MS Primary

Addresses

Primary practice location

665 S Pear Orchard Rd Ste 114
Ridgeland, MS 39157-4859

Mailing address

4229 Summerton Dr
Byram, MS 39272-8736
Phone (601) 624-5929

Other practice location 1

1210 Pine Cove Dr
Terry, MS 39170-9347
Phone (601) 878-9150

Other identifiers 1

IdentifierTypeStateIssuer
0206739MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527001867 MS Practitioner - Physical Therapist in Private Practice 1850611161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

665 S Pear Orchard Rd
Suite 114
Ridgeland, MS 39157-4859
Phone (769) 235-6788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Clinic Wellness Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Head to Toe Physical Therapy Physical Therapist CurrentSince Feb 23, 2015 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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1336530914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 SUMMERTON DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728736",
            "telephone_number": "601-624-5929",
            "fax_number": "769-235-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 114",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574859",
            "telephone_number": "769-235-6788",
            "fax_number": "769-235-6763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Pine Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Terry",
            "state": "MS",
            "postal_code": "391709347",
            "country_code": "US",
            "telephone_number": "601-878-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "JAMIE",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206739",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.

Verify at the official NPI Registry.