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

Spencer K Boothe, PT

Individual provider Physical Therapist · NPI 1992174452

Spencer K Boothe, PT is a Physical Therapist in Private Practice in Clinton, Mississippi. Qualified in 2014, 12 years ago. Practices with Capital Orthopaedic Clinic, PLLC, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2015
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

119 Highway 80 E
Clinton, MS 39056-4738
Phone: (601) 708-1834
Fax: (601) 708-1837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 Burney Dr, Flowood, MS 39232-6621 — (601) 987-8200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5603 (MS)

Record details

NPI number1992174452
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 15, 2015
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address303 Rockbridge Dr, Madison, MS 39110-6989

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Capital Orthopaedic Clinic, Pllc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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