DR. TRACIE LEE THORNTON (NPI# 1376916544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376916544 |
| Entity Type | Individual |
| Full Name | DR. TRACIE LEE THORNTON |
| Credential | DPT |
| Practice Address |
11 Dempsey Conn Rd Hattiesburg MS 39401-9041 |
| Practice Telephone | 6012971275 |
| Mailing Telephone | 6012971275 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT1467 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467962472 | Tracie Thornton | Nurse Practitioner | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2017-10-04 |
| 1427451905 | Tracie Mclain Thornton | Physician Assistant | 1 Sugar Creek Center Blvd Ste 618, Universal Surgical Assistants, Sugar Land, TX 77478-3540 | 2014-09-29 |
| Street Address |
11 DEMPSEY CONN RD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-9041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786797 | Footprints Pediatric Therapy, Pllc | Physical Therapist | 135 Pinehills Dr, Hattiesburg, MS 39402-3317 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407270333 | Creative Connections, Pllc | Physical Therapist | 4094 W Topisaw S, Summit, MS 39666-9785 | 2014-02-12 |
| 1184976037 | Kalyn Mcnair Dragon | Physical Therapist | 11845 River Estates Cir, Biloxi, MS 39532-8603 | 2012-10-02 |
| 1780978502 | Sporty Sprouts Inc | Physical Therapist | 104 Faith Way, Brandon, MS 39042-8676 | 2011-06-09 |
| 1962739722 | Coastal Plains Interagency Coordinating Council | Physical Therapist | 4063 Ginger Drie, Suite A, D'lberville, MS 39540-3705 | 2009-11-15 |
| 1174721047 | Kimberly Garrett Cooper | Physical Therapist | 112 Riverbend Cv, Brandon, MS 39047-8647 | 2007-07-03 |
| 1447371877 | Bethany B. Dill | Physical Therapist | 3815 Beauville Cv, Ocean Springs, MS 39564-8583 | 2007-04-03 |
| 1417560913 | Mckenzie Alexandra Mcclanahan | Physical Therapist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-08-25 |
| 1629680277 | Elizabeth Sueing C Sueing | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-08-17 |
| 1336758267 | Rachel Blake Tyrone | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-07-27 |
| 1245871664 | Kari Schumann | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on DR. TRACIE LEE THORNTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.