Individual provider Active NPI

Tracey Duncan Batson, RPT

  • Physical Therapist
  • Wiggins, MS
National Provider Identifier
1497859029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2024 Issued in MS
Practice address
711 Hall St
Wiggins, MS 39577-2105
Phone
(601) 928-5511
Fax
(601) 928-6110
NPI assigned
Sep 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT2024 MS Primary

Addresses

Primary practice location

711 Hall St
Wiggins, MS 39577-2105

Mailing address

711 Hall St
Wiggins, MS 39577-2105
Phone (601) 928-5511

Other identifiers 1

IdentifierTypeStateIssuer
00123057MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140801001109 MS Practitioner - Physical Therapist in Private Practice 8921041104 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients
Batson Physical Therapy, Inc. CurrentSince Jan 1, 2001 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients
Performance Therapy LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past 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

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

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

1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002

921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002

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

513 Academy Rd
Starkville, MS 39759
Phone (662) 268-8013

711 Hall St
Wiggins, MS 39577
Phone (601) 298-5511

Organizations & group practices 7

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497859029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772105",
            "telephone_number": "601-928-5511",
            "fax_number": "601-928-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772105",
            "telephone_number": "601-928-5511",
            "fax_number": "601-928-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATSON",
        "first_name": "TRACEY",
        "middle_name": "DUNCAN",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123057",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.