Physical Therapy Occupational Therapy Speech Therapy in Vicksburg, MS

Physical Therapy Occupational Therapy Speech Therapy is a medicare enrolled "Physical Therapist" provider in Vicksburg, Mississippi. Their current practice location is 3419 Wisconsin Ave, Vicksburg, Mississippi. You can reach out to their office (for appointments etc.) via phone at (601) 629-0505.

Physical Therapy Occupational Therapy Speech Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Physical Therapy Occupational Therapy Speech Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922838994.

Contact Information

	Physical Therapy Occupational Therapy Speech Therapy
	3419 Wisconsin Ave, Vicksburg, MS 39180-5330
	(601) 629-0505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Physical Therapy Occupational Therapy Speech Therapy
Type	Facility
Speciality	Physical Therapist
Location	3419 Wisconsin Ave, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922838994
Provider Enumeration Date: 08/05/2024
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 1557801073
Enrollment ID: O20240911002855

Medical Identifiers

Medical identifiers for Physical Therapy Occupational Therapy Speech Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922838994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physical Therapy Occupational Therapy Speech Therapy acts as a billing entity for following providers:

Provider Name	Margaret Elizabeth Shrader
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1912377797 PECOS PAC ID: 9638471287 Enrollment ID: I20160113002476

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Physical Therapy Occupational Therapy Speech Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Physical Therapy Occupational Therapy Speech Therapy 321 Poppyseed Ln, Raymond, MS 39154-2100 Ph: (601) 480-8025	Physical Therapy Occupational Therapy Speech Therapy 3419 Wisconsin Ave, Vicksburg, MS 39180-5330 Ph: (601) 629-0505

Reviews and Comments

Physical Therapist in Vicksburg, MS

Covenant Health & Rehab Of Vicksburg, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986
Laura Jeanne Briggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901-a Mission 66, Vicksburg, MS 39180 Phone: 601-638-4076 Fax: 601-638-4979
United Rehab Associates, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1990 S Frontage Rd Ste J, Vicksburg, MS 39180 Phone: 601-883-1983 Fax: 601-883-1938
Douglas Hohman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-634-4076 Fax: 601-883-2232
Virginia Wilson Duke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-634-4076 Fax: 601-883-2232
Mrs. Sandra K Raines, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-638-5518
Matthew S Buntyn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2480 S Frontage Rd Ste F, Vicksburg, MS 39180 Phone: 601-757-9799

Physical Therapy Occupational Therapy Speech Therapy - Medicare Physical Therapist in Vicksburg, MS