Michael Ray Dunaway Jr., PT

Key facts

NPI

1790285153

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT2343 (MS)

Practice address

709 Robb St
Summit, MS 39666-8241

Phone

(601) 276-2200

Fax

(601) 276-3300

NPI assigned

Feb 12, 2018

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Fortinberry Physical Therapy LLC Physical Therapist · Summit, MS · NPI 1891246286
  Medicare reassignment Care Compare group NPD MS · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fortinberry Physical Therapy LLC (7 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.89 of 100 (group)

Quality

85.26

Improvement activities

40

Cost

69.28

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2018.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1790285153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 BARNETT RD",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669188",
            "telephone_number": "601-551-5817",
            "fax_number": "601-276-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ROBB ST",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668241",
            "telephone_number": "601-276-2200",
            "fax_number": "601-276-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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