Individual provider Active NPI

Caitlin Sisco

  • Physical Therapist
  • Flora, MS
National Provider Identifier
1518490481
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5288 Issued in MS
Practice address
740 Highway 49 Ste F
Flora, MS 39071-9653
Phone
(972) 850-3940
NPI assigned
Apr 7, 2017
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 PT5288 MS Primary

Addresses

Primary practice location

740 Highway 49 Ste F
Flora, MS 39071-9653

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

7501 Goodman Rd
Suite 1
Olive Branch, MS 38654-1951
Phone (662) 890-3382

Other names 1

  • Caitlin Mims Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711000834 MS Practitioner - Physical Therapist in Private Practice 2062781834 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2083 Therapy, LLCGroup PAC ID 4082976246, 11 clinicians
Drayer Physical Therapy Mississippi LLCGroup PAC ID 3274834858, 113 clinicians

Practice addresses (Care Compare)

1151 Hwy 35 S
Apex Physical Therapy of Magee
Forest, MS 39074-8829
Phone (601) 469-2732

740 Hwy 49
Suite F
Flora, MS 39071-9653
Phone (601) 401-5073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
Benchmark Physical Therapy of Mississippi LLC Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist Current Accepting new patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
2083 Therapy, LLC CurrentSince Aug 8, 2022 Accepting new patients
2083 Therapy, LLC CurrentSince Aug 8, 2022 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

921 Cedar Lake Rd
Ste O
Biloxi, MS 39532
Phone (228) 533-2545

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

740 Highway 49
Ste F
Flora, MS 39071
Phone (601) 401-5073

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001

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

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

Organizations & group practices 10

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1518490481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HIGHWAY 49 STE F",
            "city": "FLORA",
            "state": "MS",
            "postal_code": "390719653",
            "telephone_number": "972-850-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Goodman Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386541951",
            "country_code": "US",
            "telephone_number": "662-890-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISCO",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MIMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flora, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.