AVERY SUMRALL
NPI 1649143637
Physical Therapist in Gulfport, MS
About Avery Sumrall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERY SUMRALL (NPI 1649143637) is an individual physical therapist in Gulfport, Mississippi, licensed in Mississippi (8083) and active in the NPI registry since September 2025. She is a graduate of William Carey University College Of Osteopathic Medicine (2025).
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 (PECOS)
Avery Sumrall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Avery Sumrall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 127 clinicians in this Medicare group
Louisville, MS 39339
- Reassigned Medicare billing, Mississippi enrollment
- 324 clinicians in this Medicare group
Saltillo, MS 38866
- Reassigned Medicare billing, Mississippi enrollment
- 230 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Mississippi enrollment
- 132 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GULFPORT, MS 39507
GULFPORT, MS 39507
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 Avery Sumrall's NPI number?
The NPI number for Avery Sumrall is 1649143637. It was assigned to this individual provider in the NPPES registry on September 25, 2025.
Where is Avery Sumrall located?
Avery Sumrall practices at 1423 Magnolia St Apt D, Gulfport, MS 39507. The listed phone number is (228) 256-6015.
What is Avery Sumrall's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Avery Sumrall enrolled in Medicare?
Yes. Avery Sumrall is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Avery Sumrall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avery Sumrall reassigns Medicare benefits to 4 organizations: Benchmark Physical Therapy Of Mississippi LLC (Ocean Springs, MS), Drayer Physical Therapy Mississippi LLC (Louisville, MS), Dpti Elite Physical Therapy LLC (Saltillo, MS) and Agilitas Usa Inc (Hixson, TN). 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 Avery Sumrall'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 Avery Sumrall was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.