SOUTHERN PHYSICAL AND AQUATIC THERAPY, P.A.
NPI 1689185597
Clinic/Center - Physical Therapy in Pontotoc, MS
About Southern Physical And Aquatic Therapy, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN PHYSICAL AND AQUATIC THERAPY, P.A. (NPI 1689185597) is a healthcare organization registered as a physical therapy in Pontotoc, Mississippi and active in the NPI registry since October 2017. The organization lists David Washington, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Southern Physical And Aquatic Therapy, P.a. 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 Southern Physical And Aquatic Therapy, P.A., 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 Southern Physical And Aquatic Therapy, P.A.'s NPI number?
The NPI number for Southern Physical And Aquatic Therapy, P.A. is 1689185597. It was assigned to this organization in the NPPES registry on October 18, 2017.
Where is Southern Physical And Aquatic Therapy, P.A. located?
Southern Physical And Aquatic Therapy, P.A. is located at 369 Peoples Drive, Pontotoc, MS 38863. The listed phone number is (662) 509-0475.
What is Southern Physical And Aquatic Therapy, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Southern Physical And Aquatic Therapy, P.A. enrolled in Medicare?
Yes. Southern Physical And Aquatic Therapy, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Physical And Aquatic Therapy, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Southern Physical And Aquatic Therapy, P.A.. 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 Southern Physical And Aquatic Therapy, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Southern Physical And Aquatic Therapy, P.A. 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 Southern Physical And Aquatic Therapy, P.A. was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Southern Physical And Aquatic Therapy, P.a. · NPI 1689185597
Physical Therapy organization in Pontotoc, Mississippi. Organization record, active in the CMS NPPES registry since October 18, 2017.
## Identity
- **NPI:** 1689185597 (Entity type: Organization)
- **Enumerated:** October 18, 2017
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** David Washington, OWNER
## Practice location
- **Address:** 369 PEOPLES DRIVE, Pontotoc, MS 38863
- **Phone:** (662) 509-0475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1689185597) · Data from the CMS NPPES public registry.