Adrianna Carpenter, PT, DPT
Individual provider Active NPI Physical Therapist · Saltillo, MS
NPI 1497367494 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1497367494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6466 (MS)
- Practice address
- 2319 Highway 145
Saltillo, MS 38866-9199 - Phone
- (662) 869-9980
- Fax
- (662) 869-9970
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
2319 Hwy 145
Saltillo, MS 38866-9199
Phone (662) 869-9980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210224000322 | MS | Practitioner - Physical Therapist in Private Practice | 6507271616 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6466 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6466 | MS | Yes |
| 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
Other providers in Saltillo, MS
- Mandy Michelle Brown
- Amber Alicia Bryant
- Christy Lynn Burns
- Caring Heart and Hands House
- Carole Moore Counseling and Consulting, LLC
- Jennifer M Carroll
- Emilly Marie Carter
- Linda Chidester
- Chiropractic Center of Saltillo
- Sarah Rebekah Christian
All providers in Saltillo, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.