Active NPI
Samantha Moore
- Physical Therapist
- Summit, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4109 Highway 98 W
Summit, MS 39666-9132 - Phone
- (601) 276-3900
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4109 Highway 98 W
Summit, MS 39666-9132
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Other practice location 1
401 Baptist Dr Ste 306
Madison, MS 39110-2012
Phone (601) 607-7204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Baptist Dr
Suite 306
Madison, MS 39110-2012
Phone (601) 607-7204
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Dpti Elite Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Past | 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
108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018
199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330
4301 Lakeland Dr
Flowood, MS 39232
Phone (601) 939-7010
151 E Metro Dr
Ste 202
Flowood, MS 39232
Phone (601) 973-1507
102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688
6250 Old Canton Rd
Ste 130
Jackson, MS 39211
Phone (601) 956-7280
1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
950 E County Line Rd
Ste D
Ridgeland, MS 39157
Phone (601) 899-0002
2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980
513 Academy Rd
Starkville, MS 39759
Phone (662) 268-8013
746 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 746-4032
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Physical Therapist
-
- Physical Therapist
- Saltillo, MS
- NPI 1386010718
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
-
- Physical Therapist
- Baldwyn, MS
- NPI 1013383496
-
- Cardiovascular Disease Physician
- Madison, MS
- NPI 1902096837
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Physical Therapist
- Columbus, MS
- NPI 1073859807
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1598197576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 HIGHWAY 98 W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396669132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 HIGHWAY 98 W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396669132",
"telephone_number": "601-276-3900"
}
],
"practiceLocations": [
{
"address_1": "401 Baptist Dr Ste 306",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391102012",
"country_code": "US",
"telephone_number": "601-607-7204",
"fax_number": "601-607-7430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.