Individual provider Active NPI

John Patrick Phillips, PT, DPT

  • Physical Therapist
  • Senatobia, MS
National Provider Identifier
1932822244
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6535 Issued in MS
Practice address
214 E Main St
Senatobia, MS 38668-2140
Phone
(662) 560-0602
NPI assigned
Sep 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 PT6535 MS Primary

Addresses

Primary practice location

214 E Main St
Senatobia, MS 38668-2140

Mailing address

210 Lindale St
Senatobia, MS 38668-2707
Phone (662) 822-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221126000048 MS Practitioner - Physical Therapist in Private Practice 4688042542 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

105 A Quality LN
Senatobia, MS 38668-2317
Phone (662) 562-9977

6600 Poplar Springs Dr
Meridian, MS 39305-1105
Phone (601) 482-5561

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6535MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Cornerstone Rehabilitation of Senatobia Inc Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Cornerstone Rehabilitation of Hernando Physical Therapist CurrentSince Feb 9, 2023 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

10 S 9th St
Ste 4
Noblesville, IN 46060

421 E Commerce St
Hernando, MS 38632
Phone (662) 449-2811

6600 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 482-5561

105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977

214 E Main St
Senatobia, MS 38668
Phone (662) 560-0602

50 S Main St
Water Valley, MS 38965
Phone (662) 473-1667

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1932822244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LINDALE ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682707",
            "telephone_number": "662-822-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682140",
            "telephone_number": "662-560-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.