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

Dr. Jeremy Wooten, PT, DPT

Individual provider Physical Therapist · NPI 1609499946

Dr. Jeremy Wooten, PT, DPT is a Physical Therapist in Private Practice in Vancleave, Mississippi. Graduated from University of Tennessee, Hsc, College of Medicine in 2020, 6 years ago. Practices with Bienville Therapy, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MS
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771
Phone: (228) 215-2240
Fax: (228) 215-2241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7232 (MS)

Record details

NPI number1609499946
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Bienville Therapy, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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