Active NPI
Linda K Ross, LMT
- Mechanotherapist
- Olive Branch, MS
National Provider Identifier
1750664843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2403
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7096 | CA | MD | Mechanotherapist |
| 2403 | MS | MD | Mechanotherapist |
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.