Southern Physical Therapy Clinic, Inc. - Medicare in Picayune, MS

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Southern Physical Therapy Clinic, Inc. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Picayune, Mississippi. Their current practice location is 1620 Highway 11 N Ste C, Picayune, Mississippi. You can reach out to their office (for appointments etc.) via phone at (769) 242-2626.

Southern Physical Therapy Clinic, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southern Physical Therapy Clinic, Inc. 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 1801370929.

Contact Information

Southern Physical Therapy Clinic, Inc.
1620 Highway 11 N Ste C,
Picayune, MS 39466-2070
(769) 242-2626
(769) 242-2685

Map and Direction




Healthcare Provider's Profile

Full NameSouthern Physical Therapy Clinic, Inc.
TypeFacility
SpecialityClinic/center - Physical Therapy
Location1620 Highway 11 N Ste C, Picayune, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801370929
  • Provider Enumeration Date: 09/25/2018
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103167184
  • Enrollment ID: O20190402000733

Medical Identifiers

Medical identifiers for Southern Physical Therapy Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801370929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (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. Southern Physical Therapy Clinic, Inc. acts as a billing entity for following providers:
Provider NameAdam Louis Robin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023548393
PECOS PAC ID: 0648540542
Enrollment ID: I20170726001465
Provider NameHeidi Dryden Molaison
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073145272
PECOS PAC ID: 3577990431
Enrollment ID: I20200305001818
Provider NameKatherine Brewer Tyree
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033723937
PECOS PAC ID: 3173935764
Enrollment ID: I20201228000519
Provider NameRobert J Crochet
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821601881
PECOS PAC ID: 2567862816
Enrollment ID: I20220331000427
Provider NameVictoria Miley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306311683
PECOS PAC ID: 7214314103
Enrollment ID: I20220516000485
Provider NameKelsea Rodriguez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699550228
PECOS PAC ID: 6901250760
Enrollment ID: I20230927002052
Provider NameChristian Litz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336921014
PECOS PAC ID: 4688020811
Enrollment ID: I20231025000278
Provider NameD'anna Pullen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1477317493
PECOS PAC ID: 9537505359
Enrollment ID: I20240314001739
Provider NameKelli Anne Cruthirds
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1104667112
PECOS PAC ID: 6800330473
Enrollment ID: I20240708001027
Provider NameDevon D Hand
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376392662
PECOS PAC ID: 9032654967
Enrollment ID: I20240715003673
Provider NameCasey Lafontaine
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1356174833
PECOS PAC ID: 0648710681
Enrollment ID: I20240905002049
Provider NameJordan Rush
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265266365
PECOS PAC ID: 7810438124
Enrollment ID: I20240925004572
Provider NameTaylore Ngumafor Che
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649964818
PECOS PAC ID: 7517407190
Enrollment ID: I20240930002161
Provider NameSara Dees
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013740588
PECOS PAC ID: 6800329038
Enrollment ID: I20241028000660
Provider NameAmber Lupo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639979404
PECOS PAC ID: 5395267983
Enrollment ID: I20250324003137
Provider NameCarlee Fleming
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1235927773
PECOS PAC ID: 0941727440
Enrollment ID: I20250508000727
Provider NameLauren Trosclair Thompson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760198733
PECOS PAC ID: 4789103771
Enrollment ID: I20250522001540

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. Southern Physical Therapy Clinic, Inc. 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 AddressPractice Location Address
Southern Physical Therapy Clinic, Inc.
1620 Highway 11 N Ste C,
Picayune, MS 39466-2070

Ph: (769) 242-2626		Southern Physical Therapy Clinic, Inc.
1620 Highway 11 N Ste C,
Picayune, MS 39466-2070

Ph: (769) 242-2626

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.