Individual provider Active NPI

James Hilary Myers, DPT

  • Physical Therapist
  • Manchester, TN
National Provider Identifier
1124507538
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11894 Issued in TN
Practice address
482 Interstate Dr Ste H
Manchester, TN 37355-3486
Phone
(931) 954-1060
Fax
(931) 954-5944
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 11894 TN Primary

Addresses

Primary practice location

482 Interstate Dr Ste H
Manchester, TN 37355-3486

Mailing address

112 Bradford Blvd Ste 500
Gordonsville, TN 38563-4618
Phone (615) 683-3010

Other practice location 1

712 N Ellington Pkwy Ste 6
Lewisburg, TN 37091-2454
Phone (931) 359-1913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005001717 TN Practitioner - Physical Therapist in Private Practice 3173875994 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11894TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Jul 24, 2019 Accepting new patients

Locations

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

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1948 Decherd Blvd
Ste 200
Decherd, TN 37324
Phone (423) 238-7568

712 N Ellington Pkwy
Ste 6
Lewisburg, TN 37091
Phone (931) 359-1913

482 Interstate Dr
Ste H
Manchester, TN 37355
Phone (931) 954-1060

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

201 S McCrary St
Woodbury, TN 37190
Phone (615) 563-1439

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.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1124507538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRADFORD BLVD STE 500",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385634618",
            "telephone_number": "615-683-3010",
            "fax_number": "615-683-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR STE H",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553486",
            "telephone_number": "931-954-1060",
            "fax_number": "931-954-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 N Ellington Pkwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370912454",
            "country_code": "US",
            "telephone_number": "931-359-1913",
            "fax_number": "931-359-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JAMES",
        "middle_name": "HILARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.