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

Dr. Raven Nicole Necaise, PT, DPT

Individual provider Physical Therapist · NPI 1124892583

Dr. Raven Nicole Necaise, PT, DPT is a Physical Therapist in Private Practice in Gulfport, Mississippi. Qualified in 2023, 3 years ago. Practices with Family Physical Therapy of South MS, a 6-clinician group. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
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

12261 Highway 49 Ste 1
Gulfport, MS 39503-2976
Phone: (228) 265-7185
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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 PT-7653 (MS)

Record details

NPI number1124892583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Family Physical Therapy Of South Ms — 6 clinicians
Accepts Medicare assignment Not indicated

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