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

Reginald Keith Wicker III, PT

Individual provider Physical Therapist · NPI 1952468407

Reginald Keith Wicker III, PT is a Physical Therapist in Private Practice in Oxford, Mississippi. Qualified in 1999, 27 years ago. Practices with Oxford Orthopaedics and Sports Medicine PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
27
Licensed in
MS
In the registry since
2007
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

497 Azalea Dr Ste 102
Oxford, MS 38655-7901
Phone: (662) 513-2000
Fax: (662) 232-0004
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2994 (MS)

Record details

NPI number1952468407
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address497 Azalea Dr Ste 102, Oxford, MS 38655-7901

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Oxford Orthopaedics And Sports Medicine Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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