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

Samuel Patterson, LPTA

Individual provider Physical Therapy Assistant · NPI 1235092982

Samuel Patterson, LPTA is a Physical Therapy Assistant in Diberville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

4347 W Gay Rd
Diberville, MS 39540-3412
Phone: (228) 392-8484
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA7918 (MS)

Record details

NPI number1235092982
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address318 W McHenry Rd, Perkinston, MS 39573-3346

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