MARY JENNINGS BOUCHILLON (NPI# 1528685542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528685542 |
| Entity Type | Individual |
| Full Name | MARY JENNINGS BOUCHILLON |
| Credential | DPT |
| Practice Address |
2319 Highway 145 Saltillo MS 38866-9199 |
| Mailing Address |
8205 Presidents Dr Hummelstown PA 17036-8621 |
| Practice Telephone | 6628699980 |
| Practice Fax Number | 6628699970 |
| Mailing Telephone | 7178392188 |
| Mailing Fax Number | 7175651104 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT6886 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2319 HIGHWAY 145 |
| City | SALTILLO |
| State | MS |
| Zip Code | 38866-9199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033269022 | Misty Mccoy Thompson | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2007-01-11 |
| 1881294981 | Katelyn M Alford | Occupational Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2020-10-28 |
| 1104464403 | Julie Dwyer | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2019-12-17 |
| 1952954588 | Anna Kathryn Tyson | Physical Therapy Assistant | 2319 Highway 145, Saltillo, MS 38866-9199 | 2019-07-23 |
| 1124670583 | Anna C Huckaby | Occupational Therapy Assistant | 2319 Highway 145, Saltillo, MS 38866-9199 | 2019-07-15 |
| 1225540560 | Paige Ellen Grant | Occupational Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2017-10-26 |
| 1841701620 | Laura Beth Walden | Speech-Language Pathologist | 2319 Highway 145, Saltillo, MS 38866 | 2017-10-19 |
| 1255859617 | James Bryson Kimbrough | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2017-09-06 |
| 1730612664 | Amanda Lee Perry | Occupational Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2017-04-07 |
| 1669926119 | Kristin Buskirk Foster | Speech-Language Pathologist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2016-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578019154 | North Mississippi Medical Center Inc. | Clinic/Center | 108 Desert Cove, Saltillo, MS 38866 | 2016-09-01 |
| 1386010718 | Dpti Elite Physical Therapy LLC | Physical Therapist | 2319 Hwy 145, Saltillo, MS 38866 | 2015-08-20 |
| 1891034435 | Nutrition Care LLC | Clinic/Center | 306 Cr 521, Saltillo, MS 38866 | 2013-02-01 |
| 1376705228 | Suzann Michelle Randle | Speech-Language Pathologist | 235 Cr 251, Saltillo, MS 38866 | 2008-07-01 |
| 1760670392 | Amanda Blount Ermis | Nurse Practitioner | 110 Big Harpe Trail, Saltillo, MS 38866 | 2007-10-09 |
| 1225157159 | Twincare Family Clinic | Clinic/Center | 2686 Hwy 145 S, Suite B, Saltillo, MS 38866 | 2007-03-29 |
| 1972656288 | Elite Physical Therapy, P.a. | Physical Therapist | 113 Town Creek Dr, Saltillo, MS 38866 | 2007-01-19 |
| 1245324417 | Martin Dental Clinic Pa | Dentist | 179 Mobile St, Saltillo, MS 38866 | 2006-10-03 |
| 1780786889 | North Mississippi Medical Clinics Inc | Family Medicine | 353 Mobile Street, Saltillo, MS 38866 | 2006-09-01 |
| 1437181088 | Julie C. Brock, O.d., Inc. | Optometrist | 107 Town Creek Drive, Suite A, Saltillo, MS 38866 | 2006-07-06 |
| Find all providers in zip 38866 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386010718 | Dpti Elite Physical Therapy LLC | Physical Therapist | 2319 Hwy 145, Saltillo, MS 38866 | 2015-08-20 |
| 1952707960 | Jamey Nicole Sims | Physical Therapist | 143 Willowbrook Dr Ste C, Saltillo, MS 38866-6896 | 2014-11-18 |
| 1629368410 | Janet H Smith | Physical Therapist | 361 Old Payne Pl, Saltillo, MS 38866-8753 | 2011-04-13 |
| 1972656288 | Elite Physical Therapy, P.a. | Physical Therapist | 113 Town Creek Dr, Saltillo, MS 38866 | 2007-01-19 |
| 1831240175 | Stacey Kirk Franks | Physical Therapist | 235 County Road 251, Saltillo, MS 38866-8755 | 2007-01-15 |
| 1033269022 | Misty Mccoy Thompson | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2007-01-11 |
| 1104464403 | Julie Dwyer | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2019-12-17 |
| 1255859617 | James Bryson Kimbrough | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2017-09-06 |
| 1902139793 | Lindsay Segars Duffie | Physical Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2009-09-10 |
| 1487869699 | Advance Rehabilitation Services, Inc. | Physical Therapist | 235 County Road 251, Saltillo, MS 38866-8755 | 2007-05-11 |
| Find all providers in SALTILLO | ||||
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| 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.