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
225100000XPhysical Therapist (* (Not Available))Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (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 NameSandra Ellen Fallon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1265602908
PECOS PAC ID: 1456752070
Enrollment ID: I20210701003895
Provider NameRobert J Crochet
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821601881
PECOS PAC ID: 2567862816
Enrollment ID: I20220331000427
Provider NameVictoria Quave Miley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306311683
PECOS PAC ID: 7214314103
Enrollment ID: I20220516000485
Provider NameJames Brian Allen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104547215
PECOS PAC ID: 0244616050
Enrollment ID: I20221003000729
Provider NameKelsea Rodriguez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699550228
PECOS PAC ID: 6901250760
Enrollment ID: I20230927002052
Provider NameCarolyn K Simpson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073839767
PECOS PAC ID: 4688028335
Enrollment ID: I20230928001921
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 NameCarly Anne Nichols
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679119036
PECOS PAC ID: 9133662562
Enrollment ID: I20240613003326

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).

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