Hattiesburg Clinic PA
NPI 1407938814ActiveOrganization· Physical Therapist· Hattiesburg, MS
Physical Therapist in Hattiesburg, Mississippi, registered in NPPES in October 2006. The authorized official on file is Bryan N. Batson, Executive Director. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1407938814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Feb 18, 2021 |
| Certified by provider | Feb 18, 2021 |
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 DME Supplier - Independently-Practicing Physical Therapist (MS) |
|---|
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