Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Axis Physical Therapy LLC

Organization Physical Therapist · NPI 1073466959

Axis Physical Therapy LLC is a Physical Therapist in Vicksburg, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901A Misson 66
Vicksburg, MS 39180-3711
Phone: (601) 638-5518
Fax: (601) 638-7122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1073466959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Cooksey — Owner · (601) 415-2258
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 16, 2026
Mailing addressPo Box 820039, Vicksburg, MS 39182-0039

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