Natalie Overstreet
Individual provider Active NPI Physical Therapist · Vancleave, MS
NPI 1376306290 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1376306290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-77193 (MS)
- Practice address
- 6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771 - Phone
- (228) 818-1200
- Fax
- (228) 818-1209
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318001424 | MS | Practitioner - Physical Therapist in Private Practice | 9133566854 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-77193 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienville Orthopaedic Specialists, LLC | Current |
Accepting new patients | |
| Bienville Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Bienville Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Bienville Orthopaedic Specialists, LLC | Current |
Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753
1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355
3615 Hospital St
Pascagoula, MS 39581
Phone (228) 762-3664
6300 E Lake Blvd
Ste 201
Vancleave, MS 39565
Phone (228) 206-2263
6300 E Lake Blvd
Ste 101
Vancleave, MS 39565
Phone (228) 215-2240
6300 E Lake Blvd
Ste 301
Vancleave, MS 39565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-77193 | MS | Yes |
Addresses
Primary practice location
6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771
Mailing address
42465 Highway 195
Haleyville, AL 35565-7052
Phone (256) 350-1764
Other providers in Vancleave, MS
- Maryann Meehan
- Emmanuel Mendoza
- Whitney W Moore
- Danny Nguyen
- Harrison Olinger
- Sarah Carter Pannell
- Parker Dental & Orthodontics
- Ethan Parks
- Michael Pavlov
- Clarissa Picard
All providers in Vancleave, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.