McKenzie Blount, DPT
Individual provider Active NPI Physical Therapist · Tupelo, MS
NPI 1558049973 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1558049973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT7567 (MS)
- Practice address
- 960 Commonwealth Blvd
Tupelo, MS 38804-9762 - Phone
- (662) 260-3789
- Fax
- (662) 260-3790
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230823001663 | MS | Practitioner - Physical Therapist in Private Practice | 5698138766 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7567 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Current |
Accepting new patients |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current |
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
214 Highway 388
#2
Brooksville, MS 39739
Phone (662) 738-4546
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980
513 Academy Rd
Starkville, MS 39759
Phone (662) 268-8013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7567 | MS | Yes |
Addresses
Primary practice location
960 Commonwealth Blvd
Tupelo, MS 38804-9762
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 777-6236
Other providers in Tupelo, MS
- Jaylin Shayne Blaylock
- Leslie Blaylock
- Amy Paxton Blossom
- Benjamin David Blossom
- Jonathan Ashley Blossom
- Kelsey O'Neal Blundell
- BMR Chiropractic, PC
- Boa Vida Hospital of Aberdeen, Ms LLC
- Boa Vida Hospital of Aberdeen, Ms LLC
- Andrea Kay Boatman
All providers in Tupelo, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.