Individual provider Active NPI

Peyton Christian Billington, PTA

  • Physical Therapy Assistant
  • Oxford, MS
National Provider Identifier
1609383207
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA6243 Issued in MS
Practice address
169 Highway 6 E Ste 102
Oxford, MS 38655-6902
Phone
(662) 380-5030
Fax
(662) 380-5620
NPI assigned
Jan 4, 2018
Last updated
Jan 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA6243 MS Primary

Addresses

Primary practice location

169 Highway 6 E Ste 102
Oxford, MS 38655-6902

Mailing address

PO Box 2459
Oxford, MS 38655-6200
Phone (662) 380-5030

Other identifiers 1

IdentifierTypeStateIssuer
PTA6243OtherMSTHERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA6243MSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Ms Outpatient Therapy Physical Therapy Assistant PastSince Mar 1, 2015 Accepting new patients

Organizations & group practices 1

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1609383207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2459",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556200",
            "telephone_number": "662-380-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HIGHWAY 6 E STE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556902",
            "telephone_number": "662-380-5030",
            "fax_number": "662-380-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGTON",
        "first_name": "PEYTON",
        "middle_name": "CHRISTIAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA6243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPY LICENSE",
            "identifier": "PTA6243",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.