MRS. SANDRA K RAINES PT
NPI 1215670112
Physical Therapist in Vicksburg, MS

Active since April 18, 2022
1901A MISSION 66, VICKSBURG, MS 39180(601) 638-5518 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sandra K Raines Pt NPPES

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

MRS. SANDRA K RAINES PT (NPI 1215670112) is an individual physical therapist in Vicksburg, Mississippi, licensed in Mississippi (PT3176) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1215670112
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. SANDRA K RAINESCredential: PT
Location Address1901A MISSION 66Vicksburg, MS 39180-3711
Mailing Address1901a Mission 66Vicksburg, MS 39180-3711
Sole ProprietorNo
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1215670112 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 · PT3176
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.
1901A MISSION 66, Vicksburg, MS 39180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra K Raines Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Sandra Raines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1901 A MISSION 66
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

Occupational Therapist
1901A MISSION 66
VICKSBURG, MS 39180
Physical Therapist
1901A MISSION 66
VICKSBURG, MS 39180
Physiological Laboratory
1901A MISSION 66
VICKSBURG, MS 39180
Physical Therapist
1901A MISSION 66
VICKSBURG, MS 39180
Physical Therapist
1901A MISSION 66
VICKSBURG, MS 39180
Clinic/Center (Physical Therapy)
1901A MISSION 66
VICKSBURG, MS 39180
Occupational Therapist
1901A MISSION 66
VICKSBURG, MS 39180
Physical Therapist
1901A MISSION 66
VICKSBURG, MS 39180

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 Sandra Raines's NPI number?

The NPI number for Sandra Raines is 1215670112. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Sandra Raines located?

Sandra Raines practices at 1901A Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 638-5518.

What is Sandra Raines's specialty?

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

Is Sandra Raines enrolled in Medicare?

Yes. Sandra Raines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Raines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Raines reassigns Medicare benefits to Elite Performance And Rehab, LLC (Vicksburg, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Raines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Raines accept?

Health plans from Oscar Health Plan, Inc. list Sandra Raines 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 Sandra Raines was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.