NPIMap

Organization Active NPI

Baptist PT - Madison

  • Physical Therapist
  • Madison, MS
National Provider Identifier
1982988812
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BAPTIST PT - MADISON
Practice address
401 Baptist Dr
Suite 306
Madison, MS 39110-2009
Phone
(601) 607-7204
Fax
(601) 607-7430
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Amy Grissett
Title
Billing Manager
Phone
(601) 944-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

401 Baptist Dr
Suite 306
Madison, MS 39110-2009

Mailing address

401 Baptist Dr
Suite 306
Madison, MS 39110-2009
Phone (601) 607-7204

National Provider Directory

National Provider Directory
Tax ID family
Baptist PT - Northtown42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1982988812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR",
            "address_2": "SUITE 306",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102009",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR",
            "address_2": "SUITE 306",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102009",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PT - MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "GRISSETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.