Individual provider Active NPI

Linda K Ross, LMT

  • Mechanotherapist
  • Olive Branch, MS
National Provider Identifier
1750664843
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
2403 Issued in MS
Practice address
9086 Pigeon Roost Rd Ste 107
Olive Branch, MS 38654-1692
Phone
(901) 318-5832
NPI assigned
Sep 24, 2011
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 7096 CA
Mechanotherapist 172M00000X 2403 MS Primary

Addresses

Primary practice location

9086 Pigeon Roost Rd Ste 107
Olive Branch, MS 38654-1692

Mailing address

9086 Pigeon Roost Rd Ste 107
Olive Branch, MS 38654-1692
Phone (901) 318-5832

Other practice location 1

9128 Pigeon Roost Rd Ste 105-G
Olive Branch, MS 38654
Phone (901) 318-5832

Other practice location 2

209 Harding Blvd Ste 13
Roseville, CA 95678-2815
Phone (530) 218-7513

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

LicenseStateTypeSpecialty
7096CAMDMechanotherapist
2403MSMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1750664843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9086 PIGEON ROOST RD STE 107",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541692",
            "telephone_number": "901-318-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9086 PIGEON ROOST RD STE 107",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541692",
            "telephone_number": "901-318-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9128 Pigeon Roost Rd Ste 105-G",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "38654",
            "country_code": "US",
            "telephone_number": "901-318-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Harding Blvd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782815",
            "country_code": "US",
            "telephone_number": "530-218-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "7096",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MS",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.