| Baleigh N Booker, DPT | |
| 4908 Great River Dr, Meridian, MS 39305-2663 | |
| (601) 453-3632 | |
| (601) 453-3633 | 
| Full Name | Baleigh N Booker | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 4908 Great River Dr, Meridian, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053908749 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT7024 (Mississippi) | Primary | 
| Provider Name | Lighthouse Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1801367883 PECOS PAC ID: 8022350727 Enrollment ID: O20190429002824 | 
| Provider Name | Creative Health Care Management Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1508538810 PECOS PAC ID: 4385929892 Enrollment ID: O20211102003279 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Baleigh N Booker, DPT 1200 Corporate Drive, Suite 400, Birmingham, AL 35242 Ph: (423) 206-4158 | Baleigh N Booker, DPT 4908 Great River Dr, Meridian, MS 39305-2663 Ph: (601) 453-3632 | 
| Joseph B. Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512 | |
| Gabe Snow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512 | |
| Peyton Macarthur Hamburg,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2447 47th Ct Ste F, Meridian, MS 39305 Phone: 601-917-5440 | |
| Deborah Mitchell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512 | |
| Lindsay Nemanich,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3716 Ms-39, Meridian, MS 39301 Phone: 601-482-7164 | |
| Gladys Mosley,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2221 Highway 39 N, Meridian, MS 39301 Phone: 601-581-1191 |