Jeremy James Windham, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2113499 Issued in TX

Practice address

724 W Rendon Crowley Rd
Crowley, TX 76036

Phone

(817) 297-4141

NPI assigned

Aug 30, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1467934133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BANK WAY",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W RENDON CROWLEY RD",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "76036",
            "telephone_number": "817-297-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Bank Way",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "TX",
            "postal_code": "760364690",
            "country_code": "US",
            "telephone_number": "940-255-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "JEREMY",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2113499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Melissa Webster, IBCLC
• Rachel Whaley, DC
• Jerred Preston White, MA, LCDC, LPC
• Latyshanique Tyiest White
• Kristen Williams, LCSW
• Winnie-Stowell Hospital District
• Lisa Ann Wittpenn, MS, LPC
• Wocnt PLLC
• Patrick F Woods
• Rayetta Wright, R.N.

• Physical Medicine & Rehabilitation Physician in Crowley, TX
• Providers in Crowley, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.