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

Michael Busby, PT

Individual provider Physical Therapist · NPI 1881147247

Michael Busby, PT is a Physical Therapist in Private Practice in Vicksburg, Mississippi. Qualified in 2016, 10 years ago. Practices with Axis Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016
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

1901A Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 638-5518
Fax: (601) 638-7122
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5959 (MS)

Record details

NPI number1881147247
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing addressPo Box 820039, Vicksburg, MS 39182-0039

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Axis Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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