Provider Demographics
NPI:1316464316
Name:CHEEKS, JOHN MARTY (PT, DPT, DHS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTY
Last Name:CHEEKS
Suffix:
Gender:M
Credentials:PT, DPT, DHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 MYRICK STRENGTHFORD RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39443-7346
Mailing Address - Country:US
Mailing Address - Phone:601-323-7757
Mailing Address - Fax:
Practice Address - Street 1:710 MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:COLLINS
Practice Address - State:MS
Practice Address - Zip Code:39428-6293
Practice Address - Country:US
Practice Address - Phone:610-340-6872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT217342251X0800X
MSPT1024225100000X
ALPTH8602225100000X
ARPT43562251E1200X
LA07743R2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics