Active NPI
Jeremy Harvey, DPT
- Physical Therapist
- Brandon, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5378
- Practice address
- 2015 Highpointe Dr
Brandon, MS 39042-3169 - Phone
- (888) 976-2667
- NPI assigned
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | PT5378 | MS | Primary |
Addresses
Primary practice location
2015 Highpointe Dr
Brandon, MS 39042-3169
Mailing address
617 Post Oak PL
Pearl, MS 39208-5534
Phone (601) 955-9980
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 Byram Business Ctr Dr
Byram, MS 39272-9636
Phone (601) 502-1194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5378 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gptrs II | Physical Therapist | Current | Accepting new patients |
| Performance Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Enduracare Acute Care Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
2015 Highpointe Dr
Brandon, MS 39042
Phone (601) 724-7310
1301 W Government St
Ste 104
Brandon, MS 39042
Phone (601) 591-7535
128 Byram Business Center Dr
Jackson, MS 39272
Phone (601) 502-1194
1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002
921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002
227 Highway 51
Ridgeland, MS 39157
Phone (601) 898-4324
Organizations & group practices 3
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 Therapist
- Ridgeland, MS
- NPI 1174851984
-
- Physical Therapist
- Philadelphia, MS
- NPI 1851427132
-
- Rehabilitation Clinic/Center
- Franklin, TN
- NPI 1568975506
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1366985608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 POST OAK PL",
"city": "PEARL",
"state": "MS",
"postal_code": "392085534",
"telephone_number": "601-955-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 HIGHPOINTE DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423169",
"telephone_number": "888-976-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "JEREMY",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT5378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.