Mischelle C Vining, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1716 Issued in MS

Practice address

3106 Old Canton Rd Ste B
Jackson, MS 39216-4219

Phone

(769) 358-0432

Fax

(601) 510-9612

NPI assigned

Jun 3, 2022

Last updated

Oct 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mischelle C Ross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.17 of 100Reported as group

Quality

82.12

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1467191775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328303",
            "telephone_number": "769-358-0432",
            "fax_number": "601-510-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 OLD CANTON RD STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164219",
            "telephone_number": "769-358-0432",
            "fax_number": "601-510-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "MISCHELLE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISCHELLE",
            "last_name": "ROSS",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juan P Villani, M.D.
• Ashley Villarreal
• Fred Vilson
• Lynn Ann Vincent, ACNP
• Sheryll Angela Vincent, MD
• Vinod K Anand
• Demeara Virgil
• Healy Vise
• Trihnity Mehryiah Vise
• Visions Physical Therapy

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.