Individual provider Active NPI

James Sircy, DPT

  • Physical Therapist
  • Cookeville, TN
National Provider Identifier
1235575960
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9574 Issued in TN
Practice address
317 W Spring St
Cookeville, TN 38501-7102
Phone
(931) 520-9250
Fax
(931) 520-9251
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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 9574 TN Primary

Addresses

Primary practice location

317 W Spring St
Cookeville, TN 38501-7102

Mailing address

2001 Mallory LN
Suite 201
Franklin, TN 37067-8233
Phone (615) 373-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419002001 TN Practitioner - Physical Therapist in Private Practice 6406097294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Rehabilitation Services, LLCGroup PAC ID 5496167728, 3 clinicians

Practice addresses (Care Compare)

1227 N Washington Ave
Suite 106
Cookeville, TN 38501-1837
Phone (931) 400-0725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9574TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Rehabilitation Services LLC Physical Therapist CurrentSince Jan 13, 2021 Accepting new patients

Locations

370 S Lowe Ave
Ste A
Cookeville, TN 38501

1227 N Washington Ave
Ste 106
Cookeville, TN 38501
Phone (931) 400-0724

Organizations & group practices 1

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1235575960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385017102",
            "telephone_number": "931-520-9250",
            "fax_number": "931-520-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRCY",
        "first_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.