| Professional Physical Therapy, Inc. | |
|
401 N Hayden St, Belzoni, MS 39038-3639 | |
| (662) 247-4446 | |
| (662) 247-2772 |
| Full Name | Professional Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 401 N Hayden St, Belzoni, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720282247 | NPI | - | NPPES |
| 9016292 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT3777 (Mississippi) | Secondary |
| 225100000X | Physical Therapist | PT1324 (Mississippi) | Primary |
| Provider Name | Michael T Nix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932196912 PECOS PAC ID: 3476522384 Enrollment ID: I20040928000630 |
| Provider Name | Price H Hodges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831186980 PECOS PAC ID: 4688664519 Enrollment ID: I20111227000792 |
| Provider Name | Bryant W Lary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366439341 PECOS PAC ID: 0042200974 Enrollment ID: I20120530000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Physical Therapy, Inc. 401 N Hayden St, Belzoni, MS 39038-3639 Ph: (662) 247-4446 | Professional Physical Therapy, Inc. 401 N Hayden St, Belzoni, MS 39038-3639 Ph: (662) 247-4446 |
Katherine Flautt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Hayden St, Belzoni, MS 39038 Phone: 662-247-4446 Fax: 662-247-2772 | |
Mr. Bryant W. Lary, R.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 401 N Hayden St, Belzoni, MS 39038 Phone: 662-247-4446 Fax: 662-247-2772 | |
Mabry Lynne Bailey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Penn St, Belzoni, MS 39038 Phone: 662-820-1289 | |
Mr. Michael T. Nix, R.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 401 N Hayden St, Belzoni, MS 39038 Phone: 662-247-4446 Fax: 662-247-2772 |