Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 213 - Therapy Services
Chapter 1 - Physical Therapy
Rule 23-213-1.1 - Provider Enrollment Requirements for Physical Therapist
Current through September 24, 2024
Providers of physical therapy must comply with the requirements set forth in Part 200, Chapter 4, Rule 4.8 in addition to the provider specific requirements outlined below:
A. National Provider Identifier (NPI), verification from National Plan and Provider Enumeration System (NPPES),
B. Copy of licensure card or letter from the appropriate board stating current certification and must be from state of servicing location, and
C. Verification of social security number using a social security card, driver's license if it notes the social security number, military ID or a notarized statement signed by the provider noting the social security number. The name noted on verification must match the name noted on the W-9.
Miss. Code Ann. § 43-13-121; 42 CFR 455, Subpart E