Active NPI
Latoya Carson Plummer, PT, DPT
- Physical Therapist
- Diberville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5030
- Practice address
- 3179 Mallett Rd Ste D
Diberville, MS 39540-9302 - Phone
- (228) 392-4710
- NPI assigned
- Apr 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5030 | MS | Primary |
Addresses
Primary practice location
3179 Mallett Rd Ste D
Diberville, MS 39540-9302
Mailing address
17223 Coventry Estates Blvd
Diberville, MS 39540-3317
Phone (228) 596-1630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15476 B Dedeaux Rd
Gulfport, MS 39503-2637
Phone (228) 539-3232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
2541 Pass Rd
Ste F
Biloxi, MS 39531
Phone (228) 388-1002
15476B Dedeaux Rd
Gulfport, MS 39503
Phone (228) 539-3232
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
1440 Central Ave E
Wiggins, MS 39577
Phone (601) 296-2100
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
MS, Physical Therapist
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Internal Medicine Physician
- Bay St Louis, MS
- NPI 1518394089
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1366886970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17223 COVENTRY ESTATES BLVD",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403317",
"telephone_number": "228-596-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3179 MALLETT RD STE D",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395409302",
"telephone_number": "228-392-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "LATOYA",
"middle_name": "CARSON",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT5030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diberville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.