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

Individual provider Physical Therapist · NPI 1699419846

Destiny Farmer, DPT is a Physical Therapist in Private Practice in Southaven, Mississippi. Qualified in 2022, 4 years ago. Works from 3 locations. Licensed in Georgia, Louisiana, Mississippi and Tennessee and 1 more.

Years since qualifying
4
Licensed in
GA, LA, MS, TN, TX
In the registry since
2022
Specialties on file
5
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Phone: (662) 536-4096
Fax: (662) 536-4099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3045 Kate Bond Rd, Bartlett, TN 38133-4004 — (205) 536-7610
  • 5000 Eldorado Pkwy Ste 430, Frisco, TX 75033-8608 — (214) 436-4606

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14193 (TN)
Physical Therapist Taxonomy 225100000X · Licence CP018685T (GA)
Physical Therapist Taxonomy 225100000X · Licence CP055480T (MS)
Physical Therapist Taxonomy 225100000X · Licence CP032267T (LA)
Physical Therapist Taxonomy 225100000X · Licence CP017120T (TX)

Record details

NPI number1699419846
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address4518 Hodge Rd, Memphis, TN 38109-5912

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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