Individual provider · Type 1 NPI

Timothy O. Landry

Physical Therapy Assistant · Ridgeland, MS

NPI number 1679471502 Active

Practice location

PO Box 315
Ridgeland, MS 39158-0315

Call (601) 206-9195 Map

Fax (601) 957-8391

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XCP15451A (MS)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1679471502

Timothy O. Landry's National Provider Identifier is 1679471502, issued on Oct 29, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ridgeland, MS. The record was last updated on Oct 29, 2026.