LACEY MOODY
NPI 1083025001
Physical Therapist in Southaven, MS

Active since May 13, 2014Accepts Medicare Assignment
3964 GOODMAN RD E, SUITE 111, SOUTHAVEN, MS 38672(662) 890-6953(662) 890-6954 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Moody NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY MOODY (NPI 1083025001) is an individual physical therapist in Southaven, Mississippi, licensed in Mississippi (PT5426) and active in the NPI registry since May 2014. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1083025001
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLACEY MOODY
Location Address3964 GOODMAN RD E, SUITE 111Southaven, MS 38672-8761
Mailing Address2001 Mallory Ln, Suite 201Franklin, TN 37067-8233 · (615) 373-1350 · Fax (615) 221-9054
Fax(662) 890-6954
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 13, 2014
NPI 1083025001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MS · PT5426
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3964 GOODMAN RD E, Southaven, MS 38672

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lacey Moody is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587888052
PECOS Enrollment IDI20140624001878, I20140806001011

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,564 services65 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,116 services61 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
942 services54 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
99 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38672 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3964 GOODMAN RD E, SUITE 128
SOUTHAVEN, MS 38672
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Hospice Care, Community Based
3964 GOODMAN RD E, STE 112
SOUTHAVEN, MS 38672
Dentist (Pediatric Dentistry)
3964 GOODMAN RD E, SUITE 128
SOUTHAVEN, MS 38672
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
3964 GOODMAN RD E
SOUTHAVEN, MS 38672
Physical Medicine & Rehabilitation
3964 GOODMAN RD E
SOUTHAVEN, MS 38672
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Moody's NPI number?

The NPI number for Lacey Moody is 1083025001. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Lacey Moody located?

Lacey Moody practices at 3964 Goodman Rd E Suite 111, Southaven, MS 38672. The listed phone number is (662) 890-6953.

What is Lacey Moody's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lacey Moody enrolled in Medicare?

Yes. Lacey Moody is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lacey Moody accept?

Health plans from BlueCross BlueShield of Tennessee list Lacey Moody as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Moody was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.