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

Mary Caitlyn Moody, DPT

Individual provider Physical Therapist · NPI 1174139265

Mary Caitlyn Moody, DPT is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2020, 6 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
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

960 Commonwealth Blvd
Tupelo, MS 38804-3880
Phone: (662) 260-3789
Fax: (662) 290-3790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7065 Airways Blvd Ste 110, Southaven, MS 38671-5874 — (662) 349-8997

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6968 (MS)

Record details

NPI number1174139265
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo