Active NPI
Angie M Terry, MS, PT
- Physical Therapist
- Ozark, AL
National Provider Identifier
1104048800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1839
- Practice address
- 123 S Painter Ave Ste C
Ozark, AL 36360-1802 - Phone
- (334) 774-0370
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH1839 | AL | Primary |
Addresses
Primary practice location
123 S Painter Ave Ste C
Ozark, AL 36360-1802
Mailing address
2006 Stonewood Dr
Dothan, AL 36301-2176
Phone (334) 792-5796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1839 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Medical Associates, L.L.C. | Past | Accepting new patients | |
| Amedisys Hospice, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Ozark, AL
- NPI 1689683922
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1982843983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104048800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 STONEWOOD DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012176",
"telephone_number": "334-792-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S PAINTER AVE STE C",
"city": "OZARK",
"state": "AL",
"postal_code": "363601802",
"telephone_number": "334-774-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "ANGIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.