Individual provider Active NPI

Adrianna Carpenter, PT, DPT

  • Physical Therapist
  • Saltillo, MS
National Provider Identifier
1497367494
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6466 Issued in MS
Practice address
2319 Highway 145
Saltillo, MS 38866-9199
Phone
(662) 869-9980
Fax
(662) 869-9970
NPI assigned
Aug 20, 2020
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6466 MS Primary
Physical Medicine & Rehabilitation Physician 208100000X PT6466 MS

Addresses

Primary practice location

2319 Highway 145
Saltillo, MS 38866-9199

Mailing address

908 Timberton Dr
Pearl, MS 39208-8639

Other practice location 1

908 Timberton Dr
Pearl, MS 39208-8639
Phone (662) 213-6735

Other practice location 2

1020 River Oaks Dr Ste 112
Flowood, MS 39232-9511
Phone (662) 213-6735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224000322 MS Practitioner - Physical Therapist in Private Practice 6507271616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dpti Elite Physical Therapy LLCGroup PAC ID 0547579401, 13 clinicians

Practice addresses (Care Compare)

2319 Hwy 145
Saltillo, MS 38866-9199
Phone (662) 869-9980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6466MSMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

216 W Bankhead St
#A
New Albany, MS 38652
Phone (662) 539-7046

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1497367494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TIMBERTON DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669199",
            "telephone_number": "662-869-9980",
            "fax_number": "662-869-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Timberton Dr",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "392088639",
            "country_code": "US",
            "telephone_number": "662-213-6735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 River Oaks Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329511",
            "country_code": "US",
            "telephone_number": "662-213-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ADRIANNA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6466",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "PT6466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.