Active NPI
Carmillia Massengale, DPT
- Physical Therapist
- Starkville, MS
National Provider Identifier
1487185278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP055727T
- Practice address
- 1001 Hospital Rd
Starkville, MS 39759-2125 - Phone
- (666) 323-6370
- Fax
- (666) 323-6370
- NPI assigned
- Mar 23, 2017
- Last updated
- May 18, 2026
- 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 | CP055727T | MS | Primary |
Addresses
Primary practice location
1001 Hospital Rd
Starkville, MS 39759-2125
Mailing address
107 Merrywood Dr
Birmingham, AL 35214-1541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP055727T | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1487185278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MERRYWOOD DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352141541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592125",
"telephone_number": "666-323-6370",
"fax_number": "666-323-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSENGALE",
"first_name": "CARMILLIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "CP055727T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.