Individual provider Active NPI

Jeffery Scott Hampton Jr., DPT

  • Physical Therapist
  • D'Iberville, MS
National Provider Identifier
1881378701
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7541 Issued in MS
Practice address
4016 Cassimer Ave
Diberville, MS 39540-2309
Phone
(228) 280-8120
NPI assigned
Jun 12, 2023
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 PT-7541 MS Primary

Addresses

Primary practice location

4016 Cassimer Ave
Diberville, MS 39540-2309

Mailing address

1224 29TH St Apt F21
Gulfport, MS 39501-6210
Phone (228) 209-0509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831002854 MS Practitioner - Physical Therapist in Private Practice 3476916891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Rehabilitation Services, LLCGroup PAC ID 6103138326, 6 clinicians

Practice addresses (Care Compare)

2107 A Bienville Blvd
Suite C
Ocean Springs, MS 39564-3001
Phone (228) 280-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-7541MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Rehabilitation Services LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

4016 Cassimer Ave
Diberville, MS 39540
Phone (228) 280-8120

Organizations & group practices 1

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1881378701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 29TH ST APT F21",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395016210",
            "telephone_number": "228-209-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 CASSIMER AVE",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402309",
            "telephone_number": "228-280-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "JEFFERY",
        "middle_name": "SCOTT",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT-7541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in D'Iberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.