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

Sporty Sprouts Inc

Organization Pediatric Physical Therapist · NPI 1780978502

Sporty Sprouts Inc is a Pediatric Physical Therapist in Brandon, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Faith Way
Brandon, MS 39042-8676
Phone: (601) 850-3698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X

Record details

NPI number1780978502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Holmes — Ceo · (601) 850-3698
Other names Sporty Sprouts: Youth Wellness Center
NPI enumeratedJune 9, 2011
Last updated in NPPESJune 9, 2011
Mailing addressPo Box 4233, Brandon, MS 39047-4233

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