PROACTIVE PHYSICAL THERAPY LLC.
NPI 1538969795
Physical Therapist in Port Gibson, MS

Active since March 17, 2025
701 ANTHONY ST, PORT GIBSON, MS 39150(601) 218-5004 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Mar 17, 2025 (2 updates tracked since 2025).

About Proactive Physical Therapy Llc. NPPES

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

PROACTIVE PHYSICAL THERAPY LLC. (NPI 1538969795) is a healthcare organization registered as a physical therapist in Port Gibson, Mississippi and active in the NPI registry since March 2025. The organization lists Kendrique Akeem Morgan, Owner, as its authorized official.

NPPES Registry Identity

NPI1538969795
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROACTIVE PHYSICAL THERAPY LLC.
Location Address701 ANTHONY STPort Gibson, MS 39150-2053
Mailing Address701 Anthony StPort Gibson, MS 39150-2053 · (601) 994-3548 · Fax (601) 448-0234
Organization SubpartNo
Authorized OfficialKendrique Akeem MorganOwner · (601) 218-5004
Enumeration DateMarch 17, 2025
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1538969795 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
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.
701 ANTHONY ST, Port Gibson, MS 39150

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Physical Therapy Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Proactive Physical Therapy LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1548993074
701 ANTHONY ST
Port Gibson, MS 39150
(601) 994-3548
✔ Accepts MedicareSame address

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

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 Proactive Physical Therapy LLC.'s NPI number?

The NPI number for Proactive Physical Therapy LLC. is 1538969795. It was assigned to this organization in the NPPES registry on March 17, 2025.

Where is Proactive Physical Therapy LLC. located?

Proactive Physical Therapy LLC. is located at 701 Anthony St, Port Gibson, MS 39150. The listed phone number is (601) 218-5004.

What is Proactive Physical Therapy LLC.'s specialty?

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

Is Proactive Physical Therapy LLC. enrolled in Medicare?

Yes. Proactive Physical Therapy LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Physical Therapy LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Proactive Physical Therapy LLC.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Proactive Physical Therapy LLC. accept?

Health plans from Cigna Healthcare list Proactive Physical Therapy LLC. 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 Proactive Physical Therapy LLC. was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.