Actimed, LLC
NPI 1386147817 · Physical Therapist · Brandon, MS
Provider details
- NPI number
- 1386147817
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jasper Adcock, Owner(601) 477-2102
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Actimed
- Doing business as
- Actimed
- Former legal business name
- Autonomy Rehab
Additional practice locations (3)
- 91 Hal Crocker RdEllisville, MS 39437Phone: (601) 477-2102
- 1074 Highway 13 NPuckett, MS 39151Phone: (601) 825-0101Fax: (601) 825-0102
- 104 W Main St Ste 10Seminary, MS 39479Phone: (601) 722-2222Fax: (601) 722-4444
Registry dates
- Enumerated
- 2018-03-12
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.