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Mackenzie Eryn Brannan, PT

NPI 1780318295ActiveIndividual· Physical Therapist· Southaven, MS

Physical Therapist (PT) in Southaven, Mississippi, licensed in MS, with an NPI issued in July 2022.

Overview

NPI1780318295
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedJul 11, 2022
Last updated in NPPESAug 10, 2022
Certified by providerAug 10, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X7417MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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