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

Dr. Staci Annette Heine, PT

Individual provider Physical Therapist · NPI 1588490023

Dr. Staci Annette Heine, PT is a Physical Therapist in Private Practice in Southaven, Mississippi. Graduated from University of Tennessee, Hsc, College of Medicine in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MS
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3146 Goodman Rd E
Southaven, MS 38672-6429
Phone: (901) 626-5702
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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 PT5825 (MS)

Record details

NPI number1588490023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 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 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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