Active NPI
Dawn Marie O'Keefe, PT
- Physical Therapist
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1186
- Practice address
- 498 Tuscan Ave
Hattiesburg, MS 39401-5461 - Phone
- (601) 543-0221
- Fax
- (601) 543-0201
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1186 | MS | Primary |
Addresses
Primary practice location
498 Tuscan Ave
Hattiesburg, MS 39401-5461
Mailing address
PO Box 8419
Biloxi, MS 39535-8087
Phone (228) 388-5714
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015385 | Medicaid | MS | |
| 1033218524 | Other | MS | GROUP NPI |
| 09015077 | Medicaid | MS | |
| C02726 | Other | MS | GROUP MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060801000372 | MS | Practitioner - Physical Therapist in Private Practice | 5890708259 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encore Rehabilitation, Inc
Practice addresses (Care Compare)
710 William Carey Pkwy
Encore Rehab on William Carey Pkwy
Hattiesburg, MS 39401-7842
Phone (601) 543-0221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1186 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Past | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070
122 98 Place Blvd
Hattiesburg, MS 39402
Phone (601) 268-0208
710 William Carey Pkwy
Hattiesburg, MS 39401
Phone (601) 318-6235
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
1044 Highway 42
Petal, MS 39465
Phone (601) 544-0500
411 W North St
Poplarville, MS 39470
Phone (601) 795-2130
Organizations & group practices 10
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.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
MS, Physical Therapist
-
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
-
- Physical Therapy Clinic/Center
- Tupelo, MS
- NPI 1942023320
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1003819608
-
- Physical Therapy Clinic/Center
- Hoover, AL
- NPI 1093840076
-
- Physical Therapy Clinic/Center
- Mobile, AL
- NPI 1497304323
-
- Physical Therapy Clinic/Center
- Pelham, AL
- NPI 1871214841
-
- Physical Therapy Clinic/Center
- Dothan, AL
- NPI 1275034712
-
- Physical Therapy Clinic/Center
- Fayetteville, TN
- NPI 1578110813
-
- Physical Therapy Clinic/Center
- Biloxi, MS
- NPI 1720221195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1831133255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8419",
"city": "BILOXI",
"state": "MS",
"postal_code": "395358087",
"telephone_number": "228-388-5714",
"fax_number": "228-388-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 TUSCAN AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394015461",
"telephone_number": "601-543-0221",
"fax_number": "601-543-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "DAWN",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015385",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1033218524",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015077",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "C02726",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.