GRADY GARDNER DPT
NPI 1245065374
Physical Therapist in Booneville, MS

Active since September 06, 2024Accepts Medicare Assignment
413 N 2ND ST, BOONEVILLE, MS 38829(662) 480-4006 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1245065374
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGRADY GARDNERCredential: DPT
Location Address413 N 2ND STBooneville, MS 38829-2031
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 777-6236
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1245065374 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 · 7836
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.
413 N 2ND ST, Booneville, MS 38829

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.

PECOS PAC ID2860933512
PECOS Enrollment IDI20240920002091

Medicare Billing Reassignments

4

Medicare 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.

Physical Therapist
715 HIGHWAY 45
Baldwyn, MS 38824
  • Reassigned Medicare billing, Mississippi enrollment
  • 230 clinicians in this Medicare group
Physical Therapist
110 N WALMART DR, SUITE F
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 324 clinicians in this Medicare group
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Mississippi enrollment
  • 132 clinicians in this Medicare group
Physical Therapist
4010 BIENVILLE BLVD UNIT 8
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.

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.
41 services13 patients

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.

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 3

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

Physical Therapist
413 N 2ND ST
BOONEVILLE, MS 38829
Chiropractor
413 N 2ND ST
BOONEVILLE, MS 38829
Physical Therapist
413 N 2ND ST
BOONEVILLE, MS 38829

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.