Amy Wilson McCarley, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6181 Issued in MS

Practice address

1966 F S Hill Dr
Grenada, MS 38901-5047

Phone

(662) 226-2442

NPI assigned

Mar 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1548765548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 JOPLIN DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015516",
            "telephone_number": "662-809-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 F S HILL DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015047",
            "telephone_number": "662-226-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Middleton Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MS",
            "postal_code": "389672000",
            "country_code": "US",
            "telephone_number": "662-283-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARLEY",
        "first_name": "AMY",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "6181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl J Marascalco, OD
• John A Marascalco, MD
• Delaynee Marchant
• W. Boyd Massey, M.D.
• Cassie Matusiak
• Jenni T McCrory
• McGehee Family Health Clinic, P.a.
• Debbie Elizabeth McGehee, CFNP
• Margaret Elizabeth McKay, CCC-SLP
• Micah McKee, MS, ATC, LAT

• Physical Therapist in Grenada, MS
• Providers in Grenada, 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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.