Organization
ACTIMED, LLC
Active
Other names
Autonomy Rehab, ActiMed
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASPER WINTON ADCOCK PT, OT, RHIA (OWNER)
(601) 477-2102
Entity
Organization
Contact information
Practice address
1074 HIGHWAY 13 N, BRANDON, MS 39042-8568
(601) 825-0101
(601) 825-0102
Mailing address
48 SCR 58, MIZE, MS 39116-5703
(601) 477-2102
(601) 822-0541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5208
MS
2255A2300X
Athletic Trainer
—
MS
225700000X
Massage Therapist
—
MS
225X00000X
Occupational Therapist
2664
MS
235Z00000X
Speech-Language Pathologist
—
MS
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06529750
—
MS
05
—
3185373
—
MS
Enumeration date
03/12/2018
Last updated
08/22/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up