GRADY GARDNER DPT
NPI 1245065374
Physical Therapist in Booneville, MS
About Grady Gardner Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRADY GARDNER DPT (NPI 1245065374) is an individual physical therapist in Booneville, Mississippi, licensed in Mississippi (7836) and active in the NPI registry since September 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grady Gardner Dpt 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.
Medicare Billing Reassignments
4Medicare enrollment records show Grady Gardner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baldwyn, MS 38824
- Reassigned Medicare billing, Mississippi enrollment
- 230 clinicians in this Medicare group
Louisville, MS 39339
- Reassigned Medicare billing, Mississippi enrollment
- 324 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Mississippi enrollment
- 132 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 127 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38829 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grady Gardner's NPI number?
The NPI number for Grady Gardner is 1245065374. It was assigned to this individual provider in the NPPES registry on September 6, 2024.
Where is Grady Gardner located?
Grady Gardner practices at 413 N 2nd St, Booneville, MS 38829. The listed phone number is (662) 480-4006.
What is Grady Gardner's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Grady Gardner enrolled in Medicare?
Yes. Grady Gardner 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.
Which organizations bill Medicare for Grady Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grady Gardner reassigns Medicare benefits to 4 organizations: Dpti Elite Physical Therapy LLC (Baldwyn, MS), Drayer Physical Therapy Mississippi LLC (Louisville, MS), Agilitas Usa Inc (Hixson, TN) and Benchmark Physical Therapy Of Mississippi LLC (Ocean Springs, MS). Each 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 Grady Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Grady Gardner was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.