Organization Active NPI

Head to Toe Physical Therapy

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
National Provider Identifier
1952793309
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT5617 Issued in MS
Legal business name
HEAD TO TOE PHYSICAL THERAPY
Practice address
665 S Pear Orchard Rd Ste 114
Ridgeland, MS 39157-4859
Phone
(769) 235-6788
Fax
(769) 235-6763
NPI assigned
Feb 23, 2015
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Jamie Sanders, D.P.T
Title
Owner
Phone
(601) 624-5929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapy Clinic/Center 261QP2000X PT5617 MS Primary

Addresses

Primary practice location

665 S Pear Orchard Rd Ste 114
Ridgeland, MS 39157-4859

Mailing address

665 S Pear Orchard Rd Ste 114
Ridgeland, MS 39157-4859
Phone (769) 235-6788

Other identifiers 1

IdentifierTypeStateIssuer
02606739MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527001708 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971823287 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1952793309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 114",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574859",
            "telephone_number": "769-235-6788",
            "fax_number": "769-235-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 114",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574859",
            "telephone_number": "769-235-6788",
            "fax_number": "769-235-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO TOE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-624-5929",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT5617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02606739",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.