Active NPI
Eva Grace Prentiss, DPT
- Physical Therapist
- Gulfport, MS
National Provider Identifier
1629993613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8272
- Practice address
- 1287 Spring St
Gulfport, MS 39507-3418 - Phone
- (228) 265-9606
- Fax
- (888) 430-7522
- NPI assigned
- Aug 11, 2026
- Last updated
- Aug 11, 2026
- 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 | PT8272 | MS | Primary |
Addresses
Primary practice location
1287 Spring St
Gulfport, MS 39507-3418
Mailing address
1287 Spring St
Gulfport, MS 39507-3418
Phone (228) 265-9606
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1629993613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 SPRING ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073418",
"telephone_number": "228-265-9606",
"fax_number": "888-430-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 SPRING ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073418",
"telephone_number": "228-265-9606",
"fax_number": "888-430-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTISS",
"first_name": "EVA",
"middle_name": "GRACE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT8272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
- Precision Surgical Resources
- Precision Surgical Resources Ohio
- Premier Living Home Care, LLC
- Premier Professional Counseling Services, LLC
- Premier Women's Health, PLLC (Premier Women's Health)
- Curtis Len Prescott, RPH
- Candice Anzley Presson
- Amy Nichole Preston, LPC
- Phylengthia Lasha Preyear, FNP-C
- Derriyan Lanae Price, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.