Cassie Thompson Brister, PT

Individual provider Active NPI Physical Therapist · Raymond, MS

NPI 1932079175 · NPPES record last updated Nov 12, 2025

Key facts

NPI
1932079175
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT7941 (MS)
Practice address
13010 Highway 18
Raymond, MS 39154-8900
Phone
(601) 857-2229
Fax
(601) 857-8223
NPI assigned
Nov 11, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Therapy LLC (86 clinicians)

Practice addresses (Care Compare)

13010 Hwy 18
Raymond, MS 39154
Phone (601) 857-2229

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260107004493 MS Practitioner - Physical Therapist in Private Practice 2365928595 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT7941MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapy LLC Physical Therapist Current
since Oct 9, 2025
Accepting new patients

Locations

921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002

1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002

13010 Highway 18
Raymond, MS 39154
Phone (601) 540-5303

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7941 MS Yes

Addresses

Primary practice location

13010 Highway 18
Raymond, MS 39154-8900

Mailing address

1058 Holland Ave
Philadelphia, MS 39350-9121
Phone (601) 650-0002

Other names

  • Cassidy Thompson Former name

Other providers in Raymond, MS

All providers in Raymond, MS · Physical Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.