Jeannie Caillouet

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PT2129 Issued in MS

Practice address

6520 Sunscope Dr
Ocean Springs, MS 39564-8690

Phone

(228) 875-1177

Fax

(228) 872-4009

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Rehab Agency Ms LLC

  • Physical Therapist
  • Starkville, MS
  • NPI 1336839000
  Care Compare group

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab Agency Ms LLC 66 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2015.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1366835480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 SUNSCOPE DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648690",
            "telephone_number": "228-875-1177",
            "fax_number": "228-872-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 SUNSCOPE DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648690",
            "telephone_number": "228-875-1177",
            "fax_number": "228-872-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAILLOUET",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "PT2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Peyton Burwell, RBT
• Jacquelyn Bush, LMT
• Donald Butcher, MD
• Carolyn M Buttross, M.D
• Linda Theresa Byrd, APRN
• Joanne Prindel Calhoun, PH.D.
• Linda Gay Calhoun, DPM
• Caminiti Counseling, LLC
• David Anthony Caminiti, MA, LPC
• Jessica Michelle Campbell

• All providers in Ocean Springs, MS
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.