Jamison Bryant Dodd, DPT
Individual provider Active NPI Physical Therapist · Picayune, MS
NPI 1417545682 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1417545682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6208 (MS)
- Practice address
- 405 Memorial Blvd
Picayune, MS 39466-5545 - Phone
- (601) 590-1014
- NPI assigned
- Jan 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dodd Therapy Center LLC
Practice addresses (Care Compare)
405 Memorial Blvd
Picayune, MS 39466-5545
Phone (769) 242-2636
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210318000655 | MS | Practitioner - Physical Therapist in Private Practice | 9830506849 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodd Therapy Center LLC | Physical Therapist | Current |
Accepting new patients |
Locations
405 Memorial Blvd
Picayune, MS 39466
Phone (601) 590-1014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6208 | MS | Yes |
Addresses
Primary practice location
405 Memorial Blvd
Picayune, MS 39466-5545
Mailing address
405 Memorial Blvd
Picayune, MS 39466-5545
Phone (601) 590-1014
Other providers in Picayune, MS
- Dental Professionals of Mississippi, P.C.
- Deslie Bonano, LCSW, BCD
- Bridie C Dick
- Thuy an Dinh
- Dodd Therapy Center LLC
- Patrick L Donohoe
- Madison Bailee Drennan
- Paula T Duchmann
- Aaron Daniel Duracher Jr.
- Embody Institute of Functional Health
All providers in Picayune, 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 Jan 4, 2021. 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.