Active NPI
Suzann Michelle Patterson, SLP
- Speech-Language Pathologist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S-5183
- Practice address
- 960 Commonwealth Blvd
Tupelo, MS 38804-9762 - Phone
- (662) 260-3789
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S-5183 | MS | Primary |
Addresses
Primary practice location
960 Commonwealth Blvd
Tupelo, MS 38804-9762
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241121002375 | MS | Practitioner - Qualified Speech Language Pathologist | 8628503091 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-5183 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of Mississippi LLC | Multi-Specialty | Current | Accepting new patients |
| Dpti Elite Physical Therapy LLC | Multi-Specialty | Current | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Multi-Specialty | Current | Accepting new patients |
| Dpti Elite Physical Therapy LLC | Multi-Specialty | Current | Accepting new patients |
| Agilitas USA, Inc | Current | Accepting new patients | |
| Agilitas USA Inc | Multi-Specialty | Current | Accepting new patients |
| Advance Rehabilitation Services, Inc. | Multi-Specialty | Past | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Multi-Specialty | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001
2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980
3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060
Organizations & group practices 8
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
- Ocean Springs, MS
- NPI 1811547680
MS, Multi-Specialty
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
MS, Multi-Specialty
-
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
-
- Physical Therapist
- Saltillo, MS
- NPI 1487869699
Multi-Specialty
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1376705228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 COMMONWEALTH BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388049762",
"telephone_number": "662-260-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "SUZANN",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-5183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.