Jennifer S McGavock, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1855 Issued in MS

Practice address

50 S Main St
Water Valley, MS 38965-2946

Phone

(662) 473-4777

Fax

(662) 473-2233

NPI assigned

Jun 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Rehabilitation, IncGroup PAC ID 0749210375, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Rehabilitation, Inc

  • Physical Therapist
  • Water Valley, MS
  • NPI 1093751539
  Medicare reassignment Care Compare group NPD
• Cornerstone Rehabilitation of Batesville Inc

  • Physical Therapist
  • Batesville, MS
  • NPI 1639114390
  Medicare reassignment NPD
• Cornerstone Rehabilitation of Hernando

  • Physical Therapist
  • Hernando, MS
  • NPI 1043640733
  Medicare reassignment NPD
• Cornerstone Rehabilitation of Senatobia Inc

  • Physical Therapist
  • Senatobia, MS
  • NPI 1043246192
  Medicare reassignment NPD
• Clarksdale Physical Therapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Clarksdale, MS
  • NPI 1962836742

  Physical Therapist

  NPD (past)
• Clarksdale Physical Therapy Inc

  • Physical Therapist
  • Clarksdale, MS
  • NPI 1952338667
  NPD (past)
• Cornerstone Rehabilitation of Oxford, Inc

  • Physical Therapist
  • Oxford, MS
  • NPI 1538104153
  NPD (past)
• Pro Health Aquisition Company

  dba Cornerstone Rehabilitation of Kosciusko

  • Physical Therapist
  • Kosciusko, MS
  • NPI 1659316313
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528003282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-3400",
            "fax_number": "662-473-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-4777",
            "fax_number": "662-473-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAVOCK",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119837",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Lee
• Joeli Link
• Lee Brian Lott, RPH
• Brenda McCullough, PTA
• Carrie Aden McDaniel, PT, ATC
• Med-Mart Home Care Inc
• Mississipp State Department of Health
• Musterion Medical, LLC
• North Mississippi Foot Specialists PC
• George Robert Orndorff Jr., DC

• Physical Therapist in Water Valley, MS
• Providers in Water Valley, MS by specialty
• Physical Therapist in Mississippi

• 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.
• 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.