Nathaniel Lee Sexton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5091 Issued in MS

Practice address

6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771

Phone

(228) 215-2240

Fax

(228) 215-2241

NPI assigned

Jul 18, 2012

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bienville Therapy, LLCGroup PAC ID 1254878325, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bienville Therapy, LLC

  • Physical Therapist
  • Vancleave, MS
  • NPI 1720844392
  Medicare reassignment Care Compare group NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Vancleave, MS
  • NPI 1689605834
  Medicare reassignment NPD
• Bienville Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1477319051
  NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Grand Bay, AL
  • NPI 1659269454
  NPD
• Premier Rehab Management, LLC

  • Physical Therapist
  • Navarre, FL
  • NPI 1821014390
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1861747560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVIGNON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575120",
            "telephone_number": "601-605-6777",
            "fax_number": "601-607-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 101",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-215-2240",
            "fax_number": "228-215-2241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Hospital St Ste B",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395814112",
            "country_code": "US",
            "telephone_number": "228-215-2260",
            "fax_number": "228-215-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "NATHANIEL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Petra Reynolds
• Katherine Sloop Roberts, MSPT
• Jayme Robinson
• Charlene Russell, LMT
• Kimberly Nicole Sanders
• Kathleen Suzanne Seymour-Swetman
• Pooja Sharma, FNP
• Kaila Sue Shoemake
• Bobby Nicole Shows, FNP
• Myra Jane Sikora, R.D., L.D.

• Physical Therapist in Vancleave, MS
• Providers in Vancleave, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.