CALVIN L. BRADDOCK PT
NPI 1679449185
Physical Therapist in Starkville, MS

Active since October 13, 2025Accepts Medicare Assignment
74 CLAIBORNE WAY, STARKVILLE, MS 39759(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calvin L. Braddock Pt NPPES

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

CALVIN L. BRADDOCK PT (NPI 1679449185) is an individual physical therapist in Starkville, Mississippi, licensed in Mississippi (1271) and active in the NPI registry since October 2025. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1679449185
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCALVIN L. BRADDOCKCredential: PT
Location Address74 CLAIBORNE WAYStarkville, MS 39759-8544
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1679449185 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 · 1271
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.
74 CLAIBORNE WAY, Starkville, MS 39759

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

Calvin L. Braddock Pt 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 ID4284124694
PECOS Enrollment IDI20251105000675

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39759 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 13

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

Occupational Therapist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Physical Therapist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Occupational Therapist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Occupational Therapist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Speech-Language Pathologist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Physical Therapist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Speech-Language Pathologist
74 CLAIBORNE WAY
STARKVILLE, MS 39759
Occupational Therapist
74 CLAIBORNE WAY
STARKVILLE, MS 39759

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 Calvin Braddock's NPI number?

The NPI number for Calvin Braddock is 1679449185. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Calvin Braddock located?

Calvin Braddock practices at 74 Claiborne Way, Starkville, MS 39759. The listed phone number is (877) 407-3422.

What is Calvin Braddock's specialty?

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

Is Calvin Braddock enrolled in Medicare?

Yes. Calvin Braddock 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.

When was this NPI record last updated?

The NPPES record for Calvin Braddock was last updated on October 13, 2025. 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.