James Groves
Individual provider Active NPI Physical Therapist · Milan, TN
NPI 1386374452 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1386374452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14208 (TN)
- Practice address
- 2060 Rhino Xing
Milan, TN 38358-5201 - Phone
- (731) 613-2214
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dynamix Physical Therapy LLC
Practice addresses (Care Compare)
2060 Rhino Xing
Milan, TN 38358-5201
Phone (731) 613-2214
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729000797 | TN | Practitioner - Physical Therapist in Private Practice | 0749662385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14208 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamix Physical Therapy LLC | Current |
Accepting new patients | |
| Dynamix Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
| Kerry D. Friesen, M.D. PC | Past | Accepting new patients |
Locations
2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250
5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214
309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722
973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100
470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995
405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221
3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221
529 High St
Huntingdon, TN 38344
Phone (731) 418-8100
117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202
1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006
104 Oxford St
Martin, TN 38237
Phone (731) 587-3422
103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504
2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214
8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100
1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306
17760 US Highway 64
Ste A
Somerville, TN 38068
128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221
1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14208 | TN | Yes |
Addresses
Primary practice location
2060 Rhino Xing
Milan, TN 38358-5201
Mailing address
36 Lost Creek Dr
Jackson, TN 38305-8406
Other providers in Milan, TN
- Robert Fly
- FPM LLC
- Gibson County Podiatry LLC
- Jon-Marc Gowan
- Kristen Nicole Gray
- Karon P Harrison
- William Hudson Harrison
- Brittany Danielle Hawk
- Tyler Ray Hawk
- Seth Patrick Hayes
All providers in Milan, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.