Actimed, LLC
NPI 1386147817ActiveOrganization· Physical Therapist· Brandon, MS
Physical Therapist in Brandon, Mississippi, registered in NPPES in March 2018. The authorized official on file is Jasper Winton Adcock, PT, OT, RHIA, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1386147817 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2018 |
| Last updated in NPPES | Aug 22, 2025 |
| Certified by provider | Aug 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5208 | MS |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | MS |
| Massage Therapist | 225700000X | — | MS |
| Occupational Therapist | 225X00000X | 2664 | MS |
| Speech-Language Pathologist | 235Z00000X | — | MS |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
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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