MS. MARY LOVE MCINNIS P.T.
NPI 1790894996
Physical Therapist - Geriatrics in Jackson, MS

Q: What is Mary Mcinnis's NPI number?

The NPI number for Mary Mcinnis is 1790894996. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Mary Mcinnis's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mcinnis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 30, 2006

1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471(601) 368-4456 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Mary Love Mcinnis P.t. NPPES

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

MS. MARY LOVE MCINNIS P.T. (NPI 1790894996) is an individual geriatrics provider in Jackson, Mississippi, licensed in Mississippi (PT0233) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1790894996

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameMS. MARY LOVE MCINNISCredential: P.T.

Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116

Mailing AddressPo Box 466, 1007 Second StreetWesson, MS 39191-0466 · (601) 362-4471 · Fax (601) 368-4456

Phone(601) 362-4471

Fax(601) 368-4456

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790894996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in MS · PT0233

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

1500 E WOODROW WILSON AVE, Jackson, MS 39216

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