Brittani Boatwright, PTA
Individual provider Active NPI Skilled Nursing Facility · Pontotoc, MS
NPI 1447534730 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1447534730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 4524 (MS)
- Practice address
- 278 W 8TH St
Pontotoc, MS 38863-3612 - Phone
- (662) 489-6411
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4524 | MS | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4524 | MS | Yes |
Addresses
Primary practice location
278 W 8TH St
Pontotoc, MS 38863-3612
Mailing address
180 North Main Street
Pontotoc, MS 38863
Other providers in Pontotoc, MS
- Andrew Bell
- Brittany Lashae Bevill
- John Thomas Black Jr.
- Boa Vida Hospital of Aberdeen, Ms LLC
- Hannah Gaskin Boatright
- Monye Bowdry
- Breanna Renee Bray
- Amber Claire Brown
- Jana Markita Call
- Chase Clinic
All providers in Pontotoc, MS · Skilled Nursing Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.