Organization
PROACTIVE PHYSICAL THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRIQUE AKEEM MORGAN DPT (OWNER)
(601) 218-5004
Entity
Organization
Contact information
Practice address
701 ANTHONY ST, PORT GIBSON, MS 39150-2053
(601) 218-5004
Mailing address
701 ANTHONY ST, PORT GIBSON, MS 39150-2053
(601) 994-3548
(601) 448-0234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
01/05/2026
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