Mika W Brown, PT
Individual provider Active NPI Physical Therapist · New Albany, MS
NPI 1386936268 · NPPES record last updated May 3, 2024
Key facts
- NPI
- 1386936268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT3552 (OK)
- Practice address
- 206B Oxford Rd
New Albany, MS 38652-3115 - Phone
- (662) 534-4445
- Fax
- (662) 534-9449
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808003042 | MS | Practitioner - Physical Therapist in Private Practice | 3678935616 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3552 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Fox Rehab Agency Ms LLC | Physical Therapist | Current |
Accepting new patients |
| Second Chance Homecare LLC | Current | Accepting new patients | |
| Tri-Vista Rehab, Inc | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Tri-Vista Rehab, Inc | Current |
Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
206B Oxford Rd
New Albany, MS 38652
Phone (662) 534-4445
105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977
74 Claiborne Way
Starkville, MS 39759
Phone (662) 268-9555
90 Clark Blvd
#A
Tupelo, MS 38804
Phone (662) 205-4282
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3552 | OK | Yes |
Addresses
Primary practice location
206B Oxford Rd
New Albany, MS 38652-3115
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other providers in New Albany, MS
- Heather Hudson Bishop
- Krisha L. Boren
- Carly Lonna Boyd
- Paige Laine Brooks
- Joseph Chadwick Brown
- Jackson Ryan Browning
- Buchanan Chiropractic, LLC
- James Craig Bullock
- Burrell Independent Contracting Service
- Marlee Dawn Camp
All providers in New Albany, 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 May 3, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.