RAVEN MCCOY (NPI# 1427177443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427177443 |
| Entity Type | Individual |
| Full Name | RAVEN MCCOY |
| Credential | PT |
| Practice Address |
2475 Lakeland Dr Ste A Jackson MS 39232-9505 |
| Mailing Address |
1054 Highland Cove Pl Ridgeland MS 39157-1523 |
| Practice Telephone | 6016641022 |
| Practice Fax Number | 6016641076 |
| Mailing Telephone | 6016366019 |
| Mailing Fax Number | 6016618457 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT3962 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2475 LAKELAND DR STE A |
| City | JACKSON |
| State | MS |
| Zip Code | 39232-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063712008 | Richard Rowe | Physical Therapist | 2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 | 2010-10-25 |
| 1437278231 | Marcus Sims | Physical Therapist | 2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 | 2007-03-29 |
| 1679635841 | Byron W Fair | Physical Therapist | 2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 | 2006-12-14 |
| 1629150818 | Candice Fountain | Occupational Therapist | 2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 | 2006-10-19 |
| 1891877924 | Marcus T Harris | Physical Therapist | 2475 Lakeland Dr Ste A, Jackson, MS 39232-9505 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609288 | Kristen Nicole Frank | Physical Therapist | 2290 W County Line Rd Ste 215, Jackson, NJ 08527-2267 | 2020-11-03 |
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1053877001 | Kira Fitchpatrick | Physical Therapist | 5225 Highway 18 W Ste C, Jackson, MS 39209-9447 | 2019-02-14 |
| 1649741521 | Damodharan Peram | Physical Therapist | 2040 Cascade Woods Dr, Jackson, MI 49203-3773 | 2018-12-17 |
| 1205308186 | Mitali Patel | Physical Therapist | 3506 Bluebell Ln Apt 32, Jackson, MI 49201-7294 | 2018-12-17 |
| 1164990735 | Shareen Challapalli | Physical Therapist | 100 E Michigan Ave Ste 400, Jackson, MI 49201-1498 | 2018-11-13 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1487134516 | William White | Physical Therapist | 85 Stonebrook Pl Ste B, Jackson, TN 38305-3653 | 2018-08-17 |
| 1457847683 | R. Jason Kent Physical Therapy, LLC | Physical Therapist | 794 Mcdonough Rd Ste 108b, Jackson, GA 30233-1572 | 2018-07-11 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.