Active NPI
Taytum Mackenzie Reid, DPT
- Physical Therapist
- Columbia, MS
National Provider Identifier
1952132623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7830
- Practice address
- 803A Highway 98 Byp
Columbia, MS 39429-3710 - Phone
- (601) 444-0030
- NPI assigned
- Aug 13, 2024
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7830 | MS | Primary |
Addresses
Primary practice location
803A Highway 98 Byp
Columbia, MS 39429-3710
Mailing address
599C Steed Rd
Ridgeland, MS 39157-1707
Phone (601) 308-4386
Other practice location 1
1102 Rose St
Prentiss, MS 39474-5200
Phone (601) 792-1242
Other practice location 2
1560 Sumrall Rd
Columbia, MS 39429-2654
Phone (601) 740-2031
Other practice location 3
1320 Winfield Street
Prentiss, MS 39474
Phone (601) 792-1172
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7830 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1952132623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599C STEED RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571707",
"telephone_number": "601-308-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803A HIGHWAY 98 BYP",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394293710",
"telephone_number": "601-444-0030"
}
],
"practiceLocations": [
{
"address_1": "1102 Rose St",
"address_purpose": "LOCATION",
"city": "Prentiss",
"state": "MS",
"postal_code": "394745200",
"country_code": "US",
"telephone_number": "601-792-1242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1560 Sumrall Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MS",
"postal_code": "394292654",
"country_code": "US",
"telephone_number": "601-740-2031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Winfield Street",
"address_purpose": "LOCATION",
"city": "Prentiss",
"state": "MS",
"postal_code": "39474",
"country_code": "US",
"telephone_number": "601-792-1172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "TAYTUM",
"middle_name": "MACKENZIE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT7830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.