Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wayne P Jimenez, PT

Individual provider Physical Therapist · NPI 1003900697

Wayne P Jimenez, PT is a Physical Therapist in Private Practice in Madison, Mississippi. Qualified in 1979, 47 years ago. Practices with Performance Therapy LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
47
Licensed in
MS
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

464 Church Rd Ste 400
Madison, MS 39110-6940
Phone: (601) 650-0002
Fax: (601) 899-0088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT0331 (MS)

Record details

NPI number1003900697
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Performance Therapy Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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