Mid-South Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7559 Issued in TN

Legal business name

MID-SOUTH PHYSICAL THERAPY, INC.

Practice address

340 Atoka McLaughlin Dr Ste B
Atoka, TN 38004-4825

Phone

(901) 837-1711

Fax

(901) 837-1232

NPI assigned

Oct 12, 2006

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin Dewayne Carter

Title

Administrator

Phone

(901) 837-1711

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Majestic, DPT

  • Physical Therapist
  • Atoka, TN
  • NPI 1952647018
  Medicare reassignment NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1801985528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ATOKA MCLAUGHLIN DR STE B",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044825",
            "telephone_number": "901-837-1711",
            "fax_number": "901-837-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ATOKA MCLAUGHLIN DR STE B",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044825",
            "telephone_number": "901-837-1711",
            "fax_number": "901-837-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-837-1711"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "569",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3646013",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3651450",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McMillian Eye Care
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• Niyokia Antwanette Meacham, FNP
• Medical Comfort Transportation Service LLC
• Mid-South Foot and Ankle Specialists, PLLC
• Steven Andrew Miller, PTA
• MSK Group, PC
• MSK Group, PC (OrthoSouth)
• MTN Orthoxpress Holdings, LLC
• Myeyedr Optometry of Tennessee, LLC (MyEyeDr.)

• Physical Therapist in Atoka, TN
• Providers in Atoka, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.