SOG PHYSICAL THERAPY
NPI 1902361660
Clinic/Center - Multi-Specialty in Tupelo, MS

Active since February 07, 2019
1211 S GLOSTER ST STE C, TUPELO, MS 38801(662) 767-4200(767) 420-4662 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2024, Feb 7, 2019 (2 updates tracked since 2019).

About Sog Physical Therapy NPPES

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

SOG PHYSICAL THERAPY (NPI 1902361660) is a healthcare organization registered as a multi-specialty in Tupelo, Mississippi and active in the NPI registry since February 2019. The organization lists Thomas Luster, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902361660
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOG PHYSICAL THERAPY
Location Address1211 S GLOSTER ST STE CTupelo, MS 38801-6535
Mailing Address1211 S Gloster StTupelo, MS 38801-6546 · (662) 432-1523 · Fax (662) 432-1528
Fax(767) 420-4662
Organization SubpartNo
Authorized OfficialThomas LusterCeo · (662) 767-4200
Enumeration DateFebruary 7, 2019
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1902361660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1211 S GLOSTER ST STE C, Tupelo, MS 38801

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)

Sog Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Sog Physical Therapy, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice14
Occupational Therapist in Private Practice9

Nearest to this location (20)

See all 23
Occupational Therapist in Private Practice
NPI 1093157570
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1144061706
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1184353237
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1669266904
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1881570950
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1659789485
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1831503127
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(669) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1912523911
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1003341462
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1093066078
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1962071050
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1033913587
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1831745397
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1912486606
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1114175700
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1023798733
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1720693245
1211 S GLOSTER ST STE C
Tupelo, MS 38801
(662) 432-1523
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1083241442
1670 MCCLURE CV
Tupelo, MS 38804
(662) 205-8171
✔ Accepts Medicare3.6 mi
Physical Therapist in Private Practice
NPI 1932543055
1110 S ADAMS ST
Fulton, MS 38843
(662) 862-4104
✔ Accepts Medicare18 mi
Occupational Therapist in Private Practice
NPI 1770373565
723 CONCORDIA AVE STE 101
Oxford, MS 38655
(662) 432-1523
✔ Accepts Medicare44 mi
See all 23 clinicians

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 Sog Physical Therapy's NPI number?

The NPI number for Sog Physical Therapy is 1902361660. It was assigned to this organization in the NPPES registry on February 7, 2019.

Where is Sog Physical Therapy located?

Sog Physical Therapy is located at 1211 S Gloster St Ste C, Tupelo, MS 38801. The listed phone number is (662) 767-4200.

What is Sog Physical Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Sog Physical Therapy enrolled in Medicare?

Yes. Sog Physical Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sog Physical Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 2 Medicare specialties reassign their Medicare billing to Sog Physical Therapy. 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. The largest specialties are Physical Therapist in Private Practice (14) and Occupational Therapist in Private Practice (9). Of these, 17 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sog Physical Therapy 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 Sog Physical Therapy 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 Sog Physical Therapy was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.