Jill Myers-McCullough, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2057693 Issued in TX

Practice address

2125 S 61St St
Temple, TX 76504-6823

Phone

(254) 314-8580

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Pyra Med Health Services, LLC

  • Home Health Agency
  • Temple, TX
  • NPI 1346480902
  NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1093348567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ARLINGTON DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123203",
            "telephone_number": "254-315-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S 61ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046823",
            "telephone_number": "254-314-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Arlington Dr",
            "address_purpose": "LOCATION",
            "city": "Woodway",
            "state": "TX",
            "postal_code": "767123203",
            "country_code": "US",
            "telephone_number": "254-315-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS-MCCULLOUGH",
        "first_name": "JILL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2057693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise D Murry, CRNA MS
• Kenisha Webb Muse, MD
• Parry Muse
• Thomas Muse, M.D.
• Vallikannu Muthiah, MD
• John D. Myers, M.D.
• Robert J. Myers
• Yolanda Myles, LMSW
• Christopher Paul Myron, D.C.
• Michael Lee Nader

• All providers in Temple, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.