Specialized Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

134 Issued in MS

Legal business name

SPECIALIZED PHYSICAL THERAPY

Practice address

533B Keyway Dr
Flowood, MS 39232-8809

Phone

(601) 420-0717

Fax

(601) 420-0957

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul J Foster, L.P.T.A.NPI 1316218522

Title

Manager

Phone

(601) 420-0717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellie McCarra Cook, PT

  • Physical Therapist
  • Flowood, MS
  • NPI 1851662043
  Medicare reassignment Care Compare group NPD
• Jodie Howell Joyner, PT

  • Physical Therapist
  • Flowood, MS
  • NPI 1194099614
  Medicare reassignment Care Compare group NPD
• Johanna Eicke Stephenson, PT3372

  • Physical Therapist
  • Flowood, MS
  • NPI 1639969561
  Medicare reassignment Care Compare group NPD
• Connie W Moore, PT

  • Physical Therapist
  • Flowood, MS
  • NPI 1063840163
  Medicare reassignment Care Compare group
• Meghan O'Neal Pritchard, DPT

  • Physical Therapist
  • Flowood, MS
  • NPI 1174178438
  Medicare reassignment NPD
• Suzanne Marie Sanders, DPT

  • Physical Therapist
  • Flowood, MS
  • NPI 1285200063
  Medicare reassignment NPD
• Paul Jerome Foster, LPTA

  • Physical Therapy Assistant
  • Flowood, MS
  • NPI 1316218522
  NPD (past) Authorized official
• Jeff Maddox, PT

  • Physical Therapist
  • Vicksburg, MS
  • NPI 1487723946
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1346317344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533B KEYWAY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328809",
            "telephone_number": "601-420-0717",
            "fax_number": "601-420-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533B KEYWAY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328809",
            "telephone_number": "601-420-0717",
            "fax_number": "601-420-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-420-0717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.T.A."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Kendall Spell, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.