MISSISSIPPI SPINE AND PELVIC HEALTH PHYSICAL THERAPY, LLC
NPI 1710654686
Clinic/Center - Physical Therapy in Ridgeland, MS
About Mississippi Spine And Pelvic Health Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI SPINE AND PELVIC HEALTH PHYSICAL THERAPY, LLC (NPI 1710654686) is a healthcare organization registered as a physical therapy in Ridgeland, Mississippi and active in the NPI registry since August 2021. The organization maintains 2 additional practice locations and lists Samuel Brooks Lewis, Co-owner/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mississippi Spine And Pelvic Health Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Mississippi Spine And Pelvic Health Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians, nearest first (16)
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 Mississippi Spine And Pelvic Health Physical Therapy, LLC's NPI number?
The NPI number for Mississippi Spine And Pelvic Health Physical Therapy, LLC is 1710654686. It was assigned to this organization in the NPPES registry on August 26, 2021.
Where is Mississippi Spine And Pelvic Health Physical Therapy, LLC located?
Mississippi Spine And Pelvic Health Physical Therapy, LLC is located at 1107 Highland Colony Pkwy Ste 109, Ridgeland, MS 39157. The listed phone number is (601) 935-0766.
What is Mississippi Spine And Pelvic Health Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Mississippi Spine And Pelvic Health Physical Therapy, LLC enrolled in Medicare?
Yes. Mississippi Spine And Pelvic Health Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
When is Mississippi Spine And Pelvic Health Physical Therapy, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mississippi Spine And Pelvic Health Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Mississippi Spine And Pelvic Health Physical 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. Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mississippi Spine And Pelvic Health Physical Therapy, LLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mississippi Spine And Pelvic Health Physical Therapy, Llc · NPI 1710654686
Physical Therapy organization in Ridgeland, Mississippi. Organization record, active in the CMS NPPES registry since August 26, 2021.
## Identity
- **NPI:** 1710654686 (Entity type: Organization)
- **Enumerated:** August 26, 2021
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Samuel Lewis, CO-OWNER/COO
## Practice location
- **Address:** 1107 HIGHLAND COLONY PKWY STE 109, Ridgeland, MS 39157-6079
- **Phone:** (601) 935-0766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710654686) · Data from the CMS NPPES public registry.