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CAPITAL ORTHOPAEDIC CLINIC PT
NPI 1184299273
Physical Therapist - Orthopedic in Flowood, MS

Active since May 21, 2021CLIA 25D1035706 · Waiver
104 BURNEY DR, FLOWOOD, MS 39232(601) 987-8200(601) 987-8211 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, May 21, 2021 (2 updates tracked since 2021).

About Capital Orthopaedic Clinic Pt NPPES

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

CAPITAL ORTHOPAEDIC CLINIC PT (NPI 1184299273) is a healthcare organization registered as an orthopedic in Flowood, Mississippi and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through January 9, 2027, maintains a secondary practice location in Clinton, and lists Katie Russell, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184299273
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameCAPITAL ORTHOPAEDIC CLINIC PLLC
Location Address104 BURNEY DRFlowood, MS 39232-6621
Mailing AddressPo Box 30594Charlotte, NC 28230-0594 · (601) 987-8200 · Fax (601) 987-8211
Phone(601) 987-8200
Fax(601) 987-8211
Organization SubpartYesParent: Capital Orthopaedic Clinic, Pllc
Authorized OfficialKatie RussellBusiness Office Manager · (601) 987-8200
Enumeration DateMay 21, 2021
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1184299273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
104 BURNEY DR, Flowood, MS 39232
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Other Names 1

Other NameCapital Orthopaedic Clinic Pt

Secondary Practice Location 1

Location 1119 Highway 80 EClinton, MS 39056-4738 · Phone (601) 708-1834 · Fax (601) 708-1837

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1035706

Capital Ortho · Flowood, MS
Active · expires Jan 9, 2027
CLIA Number25D1035706
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorDr. Edwin J. Kennedy
Laboratory Phone(601) 987-8200
Laboratory LocationCapital Ortho104 Burney Drive, Flowood, MS 39232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JANE DENTON DESPER NP
Nurse Practitioner
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8200
BRITTANY MICHELLE FITZGERALD FNP-C
Nurse Practitioner (Family)
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-2000
MARTHA ANN THORNE OTR/L
Occupational Therapist
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8202
ABIGALE CHANDLER THOMPSON DPT
Physical Therapist
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8202
WILLIAM OWEN MCCRANEY M.D.
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8200
DR. CHARLES DELBERT HOSEMANN III MD
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8200
MATTHEW CASSEDY FUTVOYE M.D.
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8200
DR. ROY BRADLEY KELLUM JR. M.D.
Orthopaedic Surgery
104 BURNEY DR
FLOWOOD, MS 39232
Rankin County (601) 987-8200

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 Capital Orthopaedic Clinic PLLC's NPI number?

The NPI number for Capital Orthopaedic Clinic PLLC is 1184299273. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is also known as Capital Orthopaedic Clinic Pt.

Where is Capital Orthopaedic Clinic PLLC located?

Capital Orthopaedic Clinic PLLC is located at 104 Burney Dr, Flowood, MS 39232. The listed phone number is (601) 987-8200.

What is Capital Orthopaedic Clinic PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Does Capital Orthopaedic Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1035706) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Capital Orthopaedic Clinic PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Capital Orthopaedic Clinic PLLC 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 Capital Orthopaedic Clinic PLLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.