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

Marty Jacob Brock, DPT

Individual provider Physical Therapist · NPI 1437793163

Marty Jacob Brock, DPT is a Physical Therapist in Private Practice in Hattiesburg, Mississippi. Qualified in 2019, 7 years ago. Practices with Performance Therapy LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
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

7 Rivers Dr Ste 10&20
Hattiesburg, MS 39401-1323
Phone: (601) 909-5006
Fax: (601) 909-5008
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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 PT6673 (MS)

Record details

NPI number1437793163
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Performance Therapy Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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