PURE THERAPY, LLC
NPI 1669251369
Clinic/Center - Multi-Specialty in Summit, MS
About Pure Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURE THERAPY, LLC (NPI 1669251369) is a healthcare organization registered as a multi-specialty in Summit, Mississippi and active in the NPI registry since September 2023. The organization lists Micaela Temple Andrus, Half Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Pure 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 Pure Therapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Pure Therapy, LLC's NPI number?
The NPI number for Pure Therapy, LLC is 1669251369. It was assigned to this organization in the NPPES registry on September 22, 2023.
Where is Pure Therapy, LLC located?
Pure Therapy, LLC is located at 7955 Huckleberry Ln, Summit, MS 39666. The listed phone number is (601) 870-4360.
What is Pure Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Pure Therapy, LLC enrolled in Medicare?
Yes. Pure Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pure Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Pure 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 Pure Therapy, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Pure 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 Pure Therapy, LLC was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Pure Therapy, Llc · NPI 1669251369
Multi-Specialty organization in Summit, Mississippi. Organization record, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1669251369 (Entity type: Organization)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Pure Therapy, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Micaela Andrus, HALF OWNER
## Practice location
- **Address:** 7955 HUCKLEBERRY LN, Summit, MS 39666-7086
- **Phone:** (601) 870-4360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Qualified Speech Language Pathologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669251369) · Data from the CMS NPPES public registry.