Active NPI
Mary Stover, PT
- Physical Therapist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1084
- Practice address
- 1225 N State St
Jackson, MS 39202-2064 - Phone
- (601) 974-6243
- Fax
- (601) 292-4589
- NPI assigned
- Dec 31, 2015
- 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 | PT1084 | MS | Primary |
Addresses
Primary practice location
1225 N State St
Jackson, MS 39202-2064
Mailing address
PO Box 2153
Dept 1947
Birmingham, AL 35287-0002
Phone (601) 944-1717
Other practice location 1
151 E Metro Dr Ste 106
Flowood, MS 39232-4403
Phone (601) 939-7010
Other practice location 2
102 Lexington Dr Ste 100
Madison, MS 39110-6952
Phone (601) 973-1688
Other practice location 3
151 E Metro Dr Ste 202
Flowood, MS 39232-4405
Phone (601) 973-1507
Other practice location 4
401 Baptist Dr Ste 306
Madison, MS 39110-2012
Phone (601) 607-7204
Other practice location 5
7273 S Siwell Rd
Byram, MS 39272-9767
Phone (601) 372-8223
Other practice location 6
108 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 926-2018
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N State St
Suite 210
Jackson, MS 39202-2000
Phone (601) 714-3202
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1084 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation of Central Mississippi, Inc. | Physical Therapist | Current | Accepting new patients |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Medical Foundation of Central Ms Inc | Physical Therapist | Past | Accepting new patients |
Locations
108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018
151 E Metro Dr
Ste 202
Flowood, MS 39232
Phone (601) 973-1507
151 E Metro Dr
Ste 106
Flowood, MS 39232
Phone (601) 664-7191
102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
7273 S Siwell Rd
Jackson, MS 39272
Phone (601) 372-8223
1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202
401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Physical Therapist
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Physical Therapist
- Jackson, MS
- NPI 1902346364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1437514734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153",
"address_2": "DEPT 1947",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352870002",
"telephone_number": "601-944-1717",
"fax_number": "601-944-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022064",
"telephone_number": "601-974-6243",
"fax_number": "601-292-4589"
}
],
"practiceLocations": [
{
"address_1": "151 E Metro Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392324403",
"country_code": "US",
"telephone_number": "601-939-7010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Lexington Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391106952",
"country_code": "US",
"telephone_number": "601-973-1688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 E Metro Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392324405",
"country_code": "US",
"telephone_number": "601-973-1507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Baptist Dr Ste 306",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391102012",
"country_code": "US",
"telephone_number": "601-607-7204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7273 S Siwell Rd",
"address_purpose": "LOCATION",
"city": "Byram",
"state": "MS",
"postal_code": "392729767",
"country_code": "US",
"telephone_number": "601-372-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 Clinton Pkwy",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MS",
"postal_code": "390564730",
"country_code": "US",
"telephone_number": "601-926-2018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOVER",
"first_name": "MARY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-31",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.