Douglas Errol Fleming II, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2751 Issued in MS

Practice address

285 Fish Bayou Rd
Lake Village, AR 71653-6086

Phone

(662) 822-1358

NPI assigned

Jan 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exceed of Ms LLCGroup PAC ID 9133577422, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Exceed of Ms, LLC

  • Physical Therapist
  • Biloxi, MS
  • NPI 1023895398
  Medicare reassignment Care Compare group NPD
• Douglas E Fleming LLC

  • Physical Therapy Clinic/Center
  • Greenville, MS
  • NPI 1164512380
  Medicare reassignment Authorized official
• Exceed of Ms, LLC

  • Physical Therapist
  • Tupelo, MS
  • NPI 1700641628
  NPD

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1497263271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FISH BAYOU RD",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716536086",
            "telephone_number": "662-822-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FISH BAYOU RD",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716536086",
            "telephone_number": "662-822-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "DOUGLAS",
        "middle_name": "ERROL",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laniece Edwards
• Misty Kaye Ellerbe, OT
• Emergency Ambulance Service of Arkansas, Inc.
• Kelli Jean Fairris, M.S.E., L.P.C
• Edith Fava
• Laura Brooke Flemister-Smith
• Tiffany Denise Fox, OT-A
• David Bruce French, PHARM.D.
• Whitney Gayfield
• Arelesha Giles

• Physical Therapist in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.