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

Samuel McDuffie

Individual provider Physical Therapist · NPI 1639325392

Samuel McDuffie is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2008, 18 years ago. Practices with Outpatient Rehabilitation Center of Fulton Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2008
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Practice location Address checks out

1743 Cliff Gookin Blvd
Tupelo, MS 38801-6723
Phone: (662) 680-5216
Fax: (662) 680-5217
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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 PT4385 (MS)

Record details

NPI number1639325392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2008
Last updated in NPPESJanuary 9, 2013
Mailing address1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Outpatient Rehabilitation Center Of Fulton Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo