Individual provider Active NPI

Jill Hannah Eudy, PT, DPT

  • Physical Therapist
  • Mount Pleasant, TX
National Provider Identifier
1346895315
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1321737 Issued in TX
Practice address
1406 Shadywood LN
Mt Pleasant, TX 75455-5337
Phone
(903) 572-6100
Fax
(903) 572-6127
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 1321737 TX Primary

Addresses

Primary practice location

1406 Shadywood LN
Mt Pleasant, TX 75455-5337

Mailing address

4075 US Highway 271 S
Bogata, TX 75417-4675
Phone (903) 439-2535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003000226 TX Practitioner - Physical Therapist in Private Practice 7517297690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Physical TherapyGroup PAC ID 8729237904, 8 clinicians

Practice addresses (Care Compare)

1501 Holiday Dr
Sulphur Springs, TX 75482-4707
Phone (903) 335-8727

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
95.18
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1321737TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers Outpatient Rehab Services, LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

405 E Marshall St
Gilmer, TX 75644
Phone (903) 402-1052

1406 Shadywood Ln
Mt Pleasant, TX 75455
Phone (903) 572-6100

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

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1346895315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 US HIGHWAY 271 S",
            "city": "BOGATA",
            "state": "TX",
            "postal_code": "754174675",
            "telephone_number": "903-439-2535",
            "fax_number": "903-572-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 SHADYWOOD LN",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754555337",
            "telephone_number": "903-572-6100",
            "fax_number": "903-572-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDY",
        "first_name": "JILL",
        "middle_name": "HANNAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1321737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.