Kiona J Dorsey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4247 Issued in MS

Practice address

57 Oasis Rd
Rolling Fork, MS 39159-2631

Phone

(662) 795-0432

NPI assigned

Aug 27, 2008

Sex

Female

Sole proprietor

No

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.

• Total Body Rehabilitation, LLC.

  • Physical Therapist
  • Rolling Fork, MS
  • NPI 1881204154

  MS, Physical Therapist

  Medicare reassignment NPD Authorized official

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2021.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1962659409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S FIRST ST",
            "city": "ROLLING FORK",
            "state": "MS",
            "postal_code": "391595216",
            "telephone_number": "662-719-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 OASIS RD",
            "city": "ROLLING FORK",
            "state": "MS",
            "postal_code": "391592631",
            "telephone_number": "662-795-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 S First St",
            "address_purpose": "LOCATION",
            "city": "Rolling Fork",
            "state": "MS",
            "postal_code": "391595216",
            "country_code": "US",
            "telephone_number": "662-719-5269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Oasis Rd",
            "address_purpose": "LOCATION",
            "city": "Rolling Fork",
            "state": "MS",
            "postal_code": "391592631",
            "country_code": "US",
            "telephone_number": "662-719-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "KIONA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rolling Fork, MS
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.