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

Mrs. Deidra K Cockroft, PT

Individual provider Physical Therapist · NPI 1265495154

Mrs. Deidra K Cockroft, PT is a Physical Therapist in Private Practice in Kosciusko, Mississippi. Qualified in 1992, 34 years ago. Practices with Premier Medical Group of Mississippi LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
34
Licensed in
MS
In the registry since
2006
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

130 Parkway Plz
Kosciusko, MS 39090-3217
Phone: (662) 289-3588
Fax: (662) 289-3533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 Ridgewood Cir, Kosciusko, MS 39090-3226 — (662) 290-3370

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1152 (MS)

Record details

NPI number1265495154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESMarch 31, 2022
Certification dateMarch 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Premier Medical Group Of Mississippi Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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