Individual provider Active NPI

Steven Harry Myers, MSPT

  • Physical Therapist
  • Long Beach, MS
National Provider Identifier
1801903166
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3128 Issued in MS
Practice address
100 La Rosa Rd Ste a
Long Beach, MS 39560-4000
Phone
(228) 863-4080
Fax
(228) 863-4014
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT3128 MS Primary

Addresses

Primary practice location

100 La Rosa Rd Ste a
Long Beach, MS 39560-4000

Mailing address

100 La Rosa Rd Ste a
Long Beach, MS 39560-4000
Phone (228) 863-4080

Other identifiers 1

IdentifierTypeStateIssuer
00356883MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000654 MS Practitioner - Physical Therapist in Private Practice 7113986167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Family Physical Therapy of South Ms 5 clinicians

Practice addresses (Care Compare)

19020 Pineville Rd
Suite 4
Long Beach, MS 39560-4572
Phone (228) 863-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3128MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy of South Ms CurrentSince Jan 16, 2006 Accepting new patients
Family Physical Therapy of South Ms LLC Current Accepting new patients

Locations

100 La Rosa Rd
Ste A
Long Beach, MS 39560
Phone (228) 863-4080

19020 Pineville Rd
Ste 4
Long Beach, MS 39560
Phone (228) 863-4080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801903166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LA ROSA RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604000",
            "telephone_number": "228-863-4080",
            "fax_number": "228-863-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LA ROSA RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604000",
            "telephone_number": "228-863-4080",
            "fax_number": "228-863-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STEVEN",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356883",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.