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

Wayne P Jimenez, PT

Individual provider Physical Therapist · NPI 1003900697

Wayne P Jimenez, PT is a Physical Therapist in Private Practice in Madison, Mississippi. Qualified in 1979, 47 years ago. Practices with Performance Therapy LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
47
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

464 Church Rd Ste 400
Madison, MS 39110-6940
Phone: (601) 650-0002
Fax: (601) 899-0088
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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 PT0331 (MS)

Record details

NPI number1003900697
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 15, 2019
Mailing address921 W Beacon St, Philadelphia, MS 39350-3229

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Performance Therapy Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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