LARRY KEITH VUNCANNON
NPI 1609913466
Specialist in Iuka, MS

Q: What is Larry Vuncannon's NPI number?

The NPI number for Larry Vuncannon is 1609913466. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Larry Vuncannon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Vuncannon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2007Accepts Medicare Assignment

503 CONSTITUTION DR, IUKA, MS 38852(662) 424-9500(662) 424-9592 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Larry Keith Vuncannon NPPES

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

LARRY KEITH VUNCANNON (NPI 1609913466) is an individual specialist in Iuka, Mississippi, licensed in Mississippi (PT1052) and active in the NPI registry since January 2007. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1609913466

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameLARRY KEITH VUNCANNON

Location Address503 CONSTITUTION DRIuka, MS 38852-8201

Mailing Address503 Constitution DrIuka, MS 38852-8201 · (662) 424-9500 · Fax (662) 424-9592

Phone(662) 424-9500

Fax(662) 424-9592

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609913466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MS · PT1052

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

503 CONSTITUTION DR, Iuka, MS 38852

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Other Identifiers 2

Medicaid00119836MS

Medicare UPINS69362MS

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry Keith Vuncannon 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 ID8527128776

PECOS Enrollment IDI20081118000857

Areas of Expertise CMS Part B claims 4

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.

562 services23 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

523 services23 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

203 services11 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

14 services14 patients

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.

CARING HANDS REHAB INC

Clinic/Center (Physical Therapy)