Individual provider Active NPI

Joshua Taylor Farley, DPT

  • Physical Therapist
  • Brandon, MS
National Provider Identifier
1801191531
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4354 Issued in MS
Practice address
1645 W Government St Ste D
Brandon, MS 39042-4602
Phone
(769) 233-5003
Fax
(769) 235-2130
NPI assigned
Jan 11, 2011
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4354 MS Primary

Addresses

Primary practice location

1645 W Government St Ste D
Brandon, MS 39042-4602

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Other practice location 1

330 Ridge Way
Flowood, MS 39232-3306
Phone (769) 230-0605

Other practice location 2

2015 Highpointe Dr
Brandon, MS 39042-3169
Phone (601) 724-7310

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4354MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 11, 2016 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jun 17, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 11, 2016 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1645 W Government St
Ste D
Brandon, MS 39042
Phone (769) 233-5003

2015 Highpointe Dr
Brandon, MS 39042
Phone (601) 724-7310

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

330 Ridge Way
Flowood, MS 39232
Phone (601) 992-1010

8110 Camp Creek Rd
Ste 106
Olive Branch, MS 38654
Phone (662) 893-1933

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1801191531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W GOVERNMENT ST STE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424602",
            "telephone_number": "769-233-5003",
            "fax_number": "769-235-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Ridge Way",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392323306",
            "country_code": "US",
            "telephone_number": "769-230-0605",
            "fax_number": "769-230-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Highpointe Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423169",
            "country_code": "US",
            "telephone_number": "601-724-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "JOSHUA",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.