Individual provider Active NPI

Gregory H Trussell, P.T.

  • Physical Therapist
  • Ridgeland, MS
National Provider Identifier
1508967928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0695 Issued in MS
Practice address
201 Highway 51 # a
Ridgeland, MS 39157-4425
Phone
(601) 898-4324
Fax
(601) 898-4325
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

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 PT0695 MS Primary

Addresses

Primary practice location

201 Highway 51 # a
Ridgeland, MS 39157-4425

Mailing address

201 Highway 51 # a
Ridgeland, MS 39157-4425
Phone (601) 898-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

227 Hwy 51
Ridgeland, MS 39157-4423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0695MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gptrs II Physical Therapist CurrentSince Feb 24, 2010 Accepting new patients
Genesis PT and Rehab Services Past Accepting new patients

Locations

227 Highway 51
Ridgeland, MS 39157
Phone (601) 898-4324

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508967928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 51 # A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574425",
            "telephone_number": "601-898-4324",
            "fax_number": "601-898-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 51 # A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574425",
            "telephone_number": "601-898-4324",
            "fax_number": "601-898-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "GREGORY",
        "middle_name": "H",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, 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 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.