NPIMap

Individual provider Active NPI

Charles Matthew Huey, PT

  • Physical Therapist
  • Southaven, MS
National Provider Identifier
1841507878
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5236 Issued in MS
Practice address
7900 Airways Blvd BLDG a
Suite 2
Southaven, MS 38671-4113
Phone
(662) 536-4096
Fax
(662) 536-4099
NPI assigned
Sep 13, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5236 MS Primary
Physical Therapist 225100000X 8734 TN

Addresses

Primary practice location

7900 Airways Blvd BLDG a
Suite 2
Southaven, MS 38671-4113

Mailing address

7900 Airways Blvd, Building a
Suite 2
Southaven, MS 38671
Phone (662) 536-4096

Other practice location 1

1785 Nonconnah Blvd
Memphis, TN 38132-2104
Phone (901) 344-0101

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
5236MSMDPhysical Therapist
8734TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist Past Accepting new patients
MSK Group, PC Physical Therapist PastSince Jun 1, 2004 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Organizations & group practices 5

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841507878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD, BUILDING A",
            "address_2": "SUITE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-536-4096",
            "fax_number": "662-536-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD BLDG A",
            "address_2": "SUITE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714113",
            "telephone_number": "662-536-4096",
            "fax_number": "662-536-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1785 Nonconnah Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381322104",
            "country_code": "US",
            "telephone_number": "901-344-0101",
            "fax_number": "901-344-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUEY",
        "first_name": "CHARLES",
        "middle_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "5236",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.