NPIMap

Organization Active NPI

Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
National Provider Identifier
1346610151
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY MISSISSIPPI LLC
Practice address
24 N Walmart Dr Ste F
Louisville, MS 39339-6898
Phone
(717) 220-2100
NPI assigned
Oct 6, 2015
Last updated
Dec 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Authorized official

Name
Kristen Hess
Title
Vice President
Phone
(717) 839-2128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

24 N Walmart Dr Ste F
Louisville, MS 39339-6898

Mailing address

199 Brookmoore Drive
Columbus, MS 39705
Phone (662) 327-6705

Other practice location 1

110 N Jerry Clower Blvd Ste W
Yazoo City, MS 39194-8669
Phone (662) 763-3750

National Provider Directory

National Provider Directory
Tax ID family
Drayer Physical Therapy Mississippi LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1346610151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BROOKMOORE DRIVE",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39705",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N WALMART DR STE F",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393396898",
            "telephone_number": "717-220-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Jerry Clower Blvd Ste W",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391948669",
            "country_code": "US",
            "telephone_number": "662-763-3750",
            "fax_number": "662-763-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-839-2128"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.