Tina D McNeal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3932 Issued in MS

Practice address

108 Veterans Memorial Dr
Kosciusko, MS 39090-3849

Phone

(769) 777-4400

Fax

(769) 777-4401

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reliant, Inc.Group PAC ID 3476737834, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Reliant, Inc.

  • Physical Therapy Clinic/Center
  • Pearl, MS
  • NPI 1013213594

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Premier Medical Group of Mississippi LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1548219884
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1497718449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SUMMIT GRV",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477384",
            "telephone_number": "601-906-9052",
            "fax_number": "601-906-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VETERANS MEMORIAL DR",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903849",
            "telephone_number": "769-777-4400",
            "fax_number": "769-777-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "TINA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09456735",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Martin, PHARMD.
• Alanna Brooke Massey
• Wanda Grace McCullough, LCSW
• Tammy McGee, P.T
• Chelsey McLendon
• Melinda J Meacham, CFNP
• Anna Taylor Middleton, OD
• Philip Adam Middleton, DMD
• Jenni Kate Miles, MD
• Mississippi CVS Pharmacy, L.L.C.

• Physical Therapist in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.