Jenny Lynn McCullar, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3646 Issued in AL

Practice address

908 26TH St
Haleyville, AL 35565-1719

Phone

(205) 485-2213

Fax

(205) 485-2242

NPI assigned

Oct 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Family Rehab Services, Inc

  • Physical Therapy Clinic/Center
  • Haleyville, AL
  • NPI 1063699585

  AL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1447346325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COUNTY ROAD 3422",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657252",
            "telephone_number": "205-485-7625",
            "fax_number": "205-485-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 26TH ST",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651719",
            "telephone_number": "205-485-2213",
            "fax_number": "205-485-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLAR",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majors Discount Drugs
• James Hunter Manasco, OD
• Mash Inc
• Jamey A Mays III, R.PH.
• Rahe K. McCandless, APRN, FNP-C
• Sabrina McGuire
• Mid-South Anesthesia Service
• Beth K Moore, PT, DPT, ATC
• Karen L Moore, CRNP
• Michael N. Moore, M.D.

• All providers in Haleyville, AL
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.