Joann M Terry, P.T.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Wilder, KY
NPI 1124024823 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124024823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 001310 (KY)
- Practice address
- 1400 Gloria Terrell Drive
Suite G
Wilder, KY 41076-9189 - Phone
- (859) 781-2800
- Fax
- (859) 781-3500
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001310 | KY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 001310 | KY | Yes |
Addresses
Primary practice location
1400 Gloria Terrell Drive
Suite G
Wilder, KY 41076-9189
Mailing address
6223 Maple Ridge Dr.
Taylor Mill, KY 41015-4441
Phone (859) 431-5779
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700148300 | Medicaid | KY |
Other names
- Ms. Jo M Terry
Other providers in Wilder, KY
- Evan Michael Sims
- Marisa Spears
- Thomas Gregory Stadler
- Petina Rachelle Strickley
- Sally J Sweeney
- Therapeutic Collaborative
- Therapeutic Collabortive
- Meredith Thornton
- True Providers Inc
- Dorothy Marie Vanhuss
All providers in Wilder, KY · Physical Medicine & Rehabilitation Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.