NPIMap

Organization Active NPI

Physiolete Therapy and Performance LLC

  • Physical Therapist
  • Flowood, MS
National Provider Identifier
1669381885
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOLETE THERAPY AND PERFORMANCE LLC
Practice address
2625 Courthouse Cir
Flowood, MS 39232-9521
Phone
(769) 208-3190
Fax
(769) 208-3191
NPI assigned
Sep 3, 2026
Organization subpart
Yes
Parent organization
PHYSIOLETE THERAPY AND PERFORMANCE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Lauren C Buckalew, DPTNPI 1619350204
Title
Co-Owner
Phone
(769) 208-3190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2625 Courthouse Cir
Flowood, MS 39232-9521

Mailing address

PO Box 2862
Tuscaloosa, AL 35403-2862
Phone (205) 409-8060

National Provider Directory

National Provider Directory
Tax ID family
Physiolete Therapy and Performance LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2625 Courthouse Cir
Flowood, MS 39232
Phone (601) 932-8555

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1669381885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2862",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032862",
            "telephone_number": "205-409-8060",
            "fax_number": "205-737-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 COURTHOUSE CIR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329521",
            "telephone_number": "769-208-3190",
            "fax_number": "769-208-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOLETE THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSIOLETE THERAPY AND PERFORMANCE LLC",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BUCKALEW",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "769-208-3190",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.