Active NPI
Jessica Gail Martin, RPT
- Physical Therapist
- Forest, MS
National Provider Identifier
1629149406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3789
- Practice address
- 813 W Third St
Forest, MS 39074-4006 - Phone
- (601) 469-1001
- Fax
- (601) 469-1009
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PT3789 | MS | Primary |
Addresses
Primary practice location
813 W Third St
Forest, MS 39074-4006
Mailing address
PO Box 426
Magee, MS 39111-0426
Phone (601) 849-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06584588 | Medicaid | MS |
Other names 1
- Jessica Gail Loflin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3789 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicomp Inc. | Past | Accepting new patients | |
| Medicomp, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
- Clinic/Center
- Collins, MS
- NPI 1811446248
-
- Physical Therapist
- Forest, MS
- NPI 1861794810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629149406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 426",
"city": "MAGEE",
"state": "MS",
"postal_code": "391110426",
"telephone_number": "601-849-6440",
"fax_number": "601-849-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W THIRD ST",
"city": "FOREST",
"state": "MS",
"postal_code": "390744006",
"telephone_number": "601-469-1001",
"fax_number": "601-469-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JESSICA",
"middle_name": "GAIL",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06584588",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "LOFLIN",
"middle_name": "GAIL",
"credential": "RPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Forest, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.