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

Avery Sumrall

Individual provider Physical Therapist · NPI 1649143637

Avery Sumrall is a Physical Therapist in Private Practice in Gulfport, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2025, 1 year ago. Licensed in Mississippi.

Years since qualifying
1
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
MS
In the registry since
2025
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Practice location Address checks out

1423 Magnolia St Apt D
Gulfport, MS 39507-3569
Phone: (228) 256-6015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8083 (MS)

Record details

NPI number1649143637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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