Jennifer Marie Terrell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1143063 Issued in TX

Practice address

4210 Kell Blvd
Suite 210
Wichita Falls, TX 76309-4802

Phone

(940) 691-4300

NPI assigned

Jul 7, 2006

Last updated

Jun 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jennifer Marie Little Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin Oaks Physical Medicine PLLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1003538182
  NPD
• Cooper & Bush Physical Therapy LLC

  • Physical Therapist
  • Benbrook, TX
  • NPI 1841220068
  NPD (past)
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD (past)
• Breland Health & Rehab Group Inc.

  • Physical Therapist
  • Lawton, OK
  • NPI 1013036508
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213488000000",
    "number": "1205868643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 KELL BLVD",
            "address_2": "SUITE 210",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094802",
            "telephone_number": "940-691-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 KELL BLVD",
            "address_2": "SUITE 210",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094802",
            "telephone_number": "940-691-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1143063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "1143063",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "752570786",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LITTLE",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Peter Teasdale, FDN-P
• Jordan Teel
• Jason Scott Templeton, FNP-C
• Jordan Matthew Terasaki, M.D.
• Teresa Schreiber (Schreiber Upper Extremity Rehab Clinic)
• Terry L. Johnson, M.D., P.a.
• Makeda Gebre Tesfaye, PHARMD
• Katherine Elizabeth Teszler, PMHNP-BC
• Katheryne Lynn Teveni, NP-C
• Texas Em-I Medical Services PA

• Physical Therapist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; 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.