Active NPI
Jessica Baskerville, PT, DPT, ATP
- Physical Therapist
- Calhoun City, MS
National Provider Identifier
1720620123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4802
- Practice address
- 140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690 - Phone
- (662) 234-8559
- NPI assigned
- Oct 17, 2019
- 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 | PT4802 | MS | Primary |
Addresses
Primary practice location
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Mailing address
211 Spring Lake CV
Oxford, MS 38655-9239
Phone (662) 202-4468
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4802 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1720620123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SPRING LAKE CV",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559239",
"telephone_number": "662-202-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BURKE CALHOUN CITY RD",
"city": "CALHOUN CITY",
"state": "MS",
"postal_code": "389169690",
"telephone_number": "662-234-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKERVILLE",
"first_name": "JESSICA",
"credential": "PT, DPT, ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT4802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhoun City, MS
- Baptist Memorial Hospital - Calhoun, Inc
- Baptist Memorial Hospital-Calhoun Inc
- Baptist Memorial Hospital-Calhoun Inc
- Baptist Memorial Hospital-Calhoun Inc
- Baptist Nursing Home-Calhoun Inc
- Evan Todd Blair, MD
- Blount Medical LLC
- Boa Vida Hospital of Aberdeen, Ms LLC
- John Francis Bradley, DO
- Julia Redwine Brandon, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.