Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Proactive Physical Therapy LLC

Organization Physical Therapist · NPI 1538969795

Proactive Physical Therapy LLC provides Physical Therapist services in Port Gibson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
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

701 Anthony St
Port Gibson, MS 39150-2053
Phone: (601) 218-5004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1538969795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendrique Morgan — Owner · (601) 218-5004
NPI enumeratedMarch 17, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address701 Anthony St, Port Gibson, MS 39150-2053

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