Active NPI
James M Terrell Jr., PT, DPT
- Contractor
- Sunflower, MS
National Provider Identifier
1649632894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT1713
- Practice address
- 23 Moll Rd
Sunflower, MS 38778-9744 - Phone
- (662) 207-8153
- NPI assigned
- Mar 27, 2016
- Last updated
- Mar 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PT1713 | MS | Primary |
Addresses
Primary practice location
23 Moll Rd
Sunflower, MS 38778-9744
Mailing address
23 Moll Rd
Sunflower, MS 38778-9744
Phone (662) 207-8153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1713 | MS | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrell Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Sunflower, MS
- NPI 1477915627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459036800000",
"number": "1649632894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 MOLL RD",
"city": "SUNFLOWER",
"state": "MS",
"postal_code": "387789744",
"telephone_number": "662-207-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 MOLL RD",
"city": "SUNFLOWER",
"state": "MS",
"postal_code": "387789744",
"telephone_number": "662-207-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-27",
"last_updated": "2016-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MS",
"license": "PT1713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunflower, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.