Individual provider Active NPI

Laicon Partain

  • Physical Therapist
  • Forest, MS
National Provider Identifier
1982484556
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7544 Issued in MS
Practice address
1151 Highway 35 S
Forest, MS 39074-8829
Phone
(601) 469-2732
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 7544 MS Primary

Addresses

Primary practice location

1151 Highway 35 S
Forest, MS 39074-8829

Mailing address

PO Box D
Forest, MS 39074-0558
Phone (601) 469-4151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002752 MS Practitioner - Physical Therapist in Private Practice 8426404963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2083 Therapy, LLCGroup PAC ID 4082976246, 11 clinicians

Practice addresses (Care Compare)

1151 Hwy 35 S
Apex Physical Therapy of Magee
Forest, MS 39074-8829
Phone (601) 469-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2083 Therapy, LLC CurrentSince Sep 2, 2023 Accepting new patients
2083 Therapy, LLC CurrentSince Sep 2, 2023 Accepting new patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients

Locations

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1982484556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX D",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390740558",
            "telephone_number": "601-469-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390748829",
            "telephone_number": "601-469-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTAIN",
        "first_name": "LAICON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "7544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.