Active NPI
Lauren Linsey Davis Hood, PT, DPT
- Physical Therapist
- Jackson, MS
National Provider Identifier
1992156236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5957
- Practice address
- 1054 Greymont Ave
Jackson, MS 39202-2718 - Phone
- (601) 355-9624
- Fax
- (601) 353-6151
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
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 | PT5957 | MS | Primary |
Addresses
Primary practice location
1054 Greymont Ave
Jackson, MS 39202-2718
Mailing address
381 Riverside Dr Ste 440
Franklin, TN 37064-8934
Phone (615) 861-8750
Other practice location 1
1190 N State St
Ste 300
Jackson, MS 39202
Phone (601) 420-4061
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00529061 | Medicaid | MS | |
| PT5957 | Other | MS | MS STATE BOARD OF PHYSICAL THERAPY |
| P01883254 | Other | MEDICARE RAILDROAD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5957 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1992156236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 RIVERSIDE DR STE 440",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370648934",
"telephone_number": "615-861-8750",
"fax_number": "615-807-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 GREYMONT AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022718",
"telephone_number": "601-355-9624",
"fax_number": "601-353-6151"
}
],
"practiceLocations": [
{
"address_1": "1190 N State St",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "39202",
"country_code": "US",
"telephone_number": "601-420-4061",
"fax_number": "601-420-4918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOD",
"first_name": "LAUREN",
"middle_name": "LINSEY DAVIS",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT5957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00529061",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS STATE BOARD OF PHYSICAL THERAPY",
"identifier": "PT5957",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILDROAD",
"identifier": "P01883254",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.