Individual provider Active NPI

Mary Stover, PT

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1437514734
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1084 Issued in MS
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

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231023001249 MS Practitioner - Physical Therapist in Private Practice 5890772305 Reassigns benefits to 1 organization

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
Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians

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 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1084MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Medical Foundation of Central Ms CurrentSince Oct 1, 2023 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.

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.

Verify at the official NPI Registry.