Alyse Blackwell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6471 Issued in MS

Practice address

1000 14TH St
Meridian, MS 39301-4457

Phone

(601) 917-9680

Fax

(601) 917-9651

NPI assigned

Aug 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alyse Green Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Rehab of Mississippi, PLLCGroup PAC ID 3072803345, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Total Rehab of Mississippi, PLLC

  • Physical Therapist
  • Meridian, MS
  • NPI 1396109559
  Medicare reassignment Care Compare group NPD
• Total Imaging of Mississippi

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Meridian, MS
  • NPI 1114582848
  NPD

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1669872305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014457",
            "telephone_number": "601-917-9680",
            "fax_number": "601-917-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014457",
            "telephone_number": "601-917-9680",
            "fax_number": "601-917-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Drive",
            "address_2": "Station 14",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "AL",
            "postal_code": "35470",
            "country_code": "US",
            "telephone_number": "205-652-3471",
            "fax_number": "205-652-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "ALYSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03257702",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "GREEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sana L Bhatti, M.D.
• Bo Bilello
• William A Billups III, M.D.
• Garrett Black
• Wilmalean Michelle Black, NURSE PRACTITIONER
• John R Blackwell, M.D.
• Taylor Renee Blackwell, DNP, AGACNP-BC
• Kendra Blakely, MS, LPC, NCC
• Amanda Christine Blount, LPC
• Elaine Annette Blount, NP

• Physical Therapist in Meridian, MS
• Providers in Meridian, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.