Individual provider Active NPI

James O Farrell Jr., PT

  • Physical Therapist
  • Yazoo City, MS
National Provider Identifier
1003116062
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2727 Issued in MS
Practice address
110 N Jerry Clower Blvd Ste M
Yazoo City, MS 39194-8669
Phone
(662) 763-3750
Fax
(662) 763-3721
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2727 MS Primary

Addresses

Primary practice location

110 N Jerry Clower Blvd Ste M
Yazoo City, MS 39194-8669

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 777-6236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403002297 MS Practitioner - Physical Therapist in Private Practice 1355627456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Mississippi LLCGroup PAC ID 3274834858, 113 clinicians

Practice addresses (Care Compare)

110 N Jerry Clower Blvd
Suite M
Yazoo City, MS 39194-8669
Phone (662) 763-3750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2727MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Clinic Wellness Physical Therapist CurrentSince Feb 2, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Visions Physical Therapy Physical Therapist CurrentSince Feb 25, 2017 Accepting new patients
Visions Physical Therapy Physical Therapist Past Accepting new patients
Premier Rehab Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

908 E Peace St
Canton, MS 39046
Phone (601) 859-1707

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

4700 Robinson Rd
Jackson, MS 39204
Phone (601) 664-1022

1815 Hospital Dr
Ste 130
Jackson, MS 39204
Phone (601) 664-1022

110 N Jerry Clower Blvd
Ste M
Yazoo City, MS 39194
Phone (662) 763-3750

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1003116062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-777-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N JERRY CLOWER BLVD STE M",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391948669",
            "telephone_number": "662-763-3750",
            "fax_number": "662-763-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "JAMES",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.