Active NPI
Kimberly Middleton, PT
- Physical Therapist
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2002
- Practice address
- 671 Grants Ferry Rd Ste a
Flowood, MS 39232-6801 - Phone
- (769) 777-4400
- Fax
- (769) 777-4401
- NPI assigned
- Feb 17, 2009
- 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 | PT2002 | MS | Primary |
Addresses
Primary practice location
671 Grants Ferry Rd Ste a
Flowood, MS 39232-6801
Mailing address
3825 Highway 80 E
Pearl, MS 39208-4232
Phone (769) 777-4400
Other practice location 1
3825 Highway 80 E
Pearl, MS 39208-4232
Phone (601) 939-3030
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
- University of Mississippi School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3825 Hwy 80 E
Pearl, MS 39208-4232
Phone (769) 777-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant, Inc. | Physical Therapist | Current | Accepting new patients |
| Alliance Primary Care Plus | Current | Accepting new patients |
Locations
671 Grants Ferry Rd
Ste A
Flowood, MS 39232
Phone (769) 777-4400
3825 Highway 80 E
Pearl, MS 39208
Phone (601) 939-3030
209 Riverwind Dr
#B
Pearl, MS 39208
Phone (601) 595-0401
Interoperability endpoints
- https://api.platform.athenahealth.com/21435/brand/1/csg/1/fhir/r4
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 Therapy Clinic/Center
- Pearl, MS
- NPI 1003273897
-
- Family Nurse Practitioner
- Pearl, MS
- NPI 1265055081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1376782268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 HIGHWAY 80 E",
"city": "PEARL",
"state": "MS",
"postal_code": "392084232",
"telephone_number": "769-777-4400",
"fax_number": "769-777-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 GRANTS FERRY RD STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392326801",
"telephone_number": "769-777-4400",
"fax_number": "769-777-4401"
}
],
"practiceLocations": [
{
"address_1": "3825 Highway 80 E",
"address_purpose": "LOCATION",
"city": "Pearl",
"state": "MS",
"postal_code": "392084232",
"country_code": "US",
"telephone_number": "601-939-3030",
"fax_number": "601-510-7791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETON",
"first_name": "KIMBERLY",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.