23 Miss. Code. R. 213-1.1 - Provider Enrollment Requirements for Physical Therapist
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.
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