Individual provider Active NPI

Craig Howard, PT, DPT

  • Physical Therapist
  • Pearl, MS
National Provider Identifier
1619491545
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6185 Issued in MS
Practice address
2509 Old Brandon Rd Ste C
Pearl, MS 39208-4610
Phone
(601) 487-6814
Fax
(601) 487-6815
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6185 MS Primary

Addresses

Primary practice location

2509 Old Brandon Rd Ste C
Pearl, MS 39208-4610

Mailing address

PO Box 54163
Pearl, MS 39288-4163
Phone (601) 487-6814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913000419 MS Practitioner - Physical Therapist in Private Practice 4385917384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Therapy LLCGroup PAC ID 8022455617, 2 clinicians

Practice addresses (Care Compare)

2509 Old Brandon Rd
Suite C
Pearl, MS 39208-4610
Phone (601) 497-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6185MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Therapy LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients

Locations

2509 Old Brandon Rd
Ste C
Pearl, MS 39208
Phone (601) 487-6814

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1619491545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54163",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392884163",
            "telephone_number": "601-487-6814",
            "fax_number": "601-487-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 OLD BRANDON RD STE C",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084610",
            "telephone_number": "601-487-6814",
            "fax_number": "601-487-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CRAIG",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.