Active NPI
Loyd Jerald Jeffers, DPT
- Physical Therapist
- Palestine, TX
National Provider Identifier
1558496505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1166553
- Practice address
- 3201 S Loop 256 Ste 400
Palestine, TX 75801 - Phone
- (903) 723-1475
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1166553 | TX | Primary |
Addresses
Primary practice location
3201 S Loop 256 Ste 400
Palestine, TX 75801
Mailing address
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02142307 | Other | TX | MEDICARE RAIL ROAD |
| 391810401 | Medicaid | TX | |
| 738291 | Other | TX | MEDICARE |
| 8KC689 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
3201 S Loop 256
Ste 400
Palestine, TX 75801
Phone (903) 661-7179
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1558496505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 HARTFORD ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054603",
"telephone_number": "325-793-3400",
"fax_number": "325-793-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S LOOP 256 STE 400",
"city": "PALESTINE",
"state": "TX",
"postal_code": "75801",
"telephone_number": "903-723-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "LOYD",
"middle_name": "JERALD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1166553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P02142307",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "391810401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "738291",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8KC689",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.