Individual provider Active NPI

Miah Edmonds-Culpepper, DPT

  • Physical Therapist
  • Amory, MS
National Provider Identifier
1497538755
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37504 Issued in MS
Practice address
60368 Cotton Gin Port Rd
Amory, MS 38821-9104
Phone
(662) 257-3669
Fax
(662) 257-3961
NPI assigned
Aug 18, 2023
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37504 MS Primary

Addresses

Primary practice location

60368 Cotton Gin Port Rd
Amory, MS 38821-9104

Mailing address

60368 Cotton Gin Port Rd
Amory, MS 38821-9104
Phone (662) 257-3669

Other names 1

  • Miah Edmonds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240930003918 FL Practitioner - Physical Therapist in Private Practice 7517498611 Reassigns benefits to 1 organization
I20251118000656 MS Practitioner - Physical Therapist in Private Practice 7517498611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

60368 Cotton Gin Port Rd
Amory, MS 38821-9104

PO Box
Suite 111
Moultrie, GA 31776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37504MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients
Action Therapy Group LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Primetime Physical Therapy LLC Physical Therapist PastSince Aug 27, 2023 Accepting new patients
Breakthrough Physical Therapy Physical Therapist PastSince Oct 15, 2025 Accepting new patients
Core Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

60368 Cotton Gin Port Rd
Amory, MS 38821
Phone (662) 257-3669

Organizations & group practices 5

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1497538755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60368 COTTON GIN PORT RD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388219104",
            "telephone_number": "662-257-3669",
            "fax_number": "662-257-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60368 COTTON GIN PORT RD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388219104",
            "telephone_number": "662-257-3669",
            "fax_number": "662-257-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS-CULPEPPER",
        "first_name": "MIAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT37504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIAH",
            "last_name": "EDMONDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.