Axis Physical Therapy LLC
NPI 1073466959ActiveOrganization· Physical Therapist· Vicksburg, MS
Physical Therapist in Vicksburg, Mississippi, registered in NPPES in February 2026. The authorized official on file is Kurt Cooksey, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1073466959 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2026 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MS) |
|---|
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