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

Proactive Physical Therapy LLC

Organization Physical Therapist · NPI 1538969795

Proactive Physical Therapy LLC is a Physical Therapist 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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