Active NPI
Guy L. Terry, PT
- Physical Therapist
- Carrollton, TX
National Provider Identifier
1700972874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3730 N Josey LN
#124
Carrollton, TX 75007-2484 - Phone
- (972) 939-6501
- Fax
- (866) 451-0585
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 24, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | NU | ||
| Sports Physical Therapist | 2251S0007X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | NU |
Addresses
Primary practice location
3730 N Josey LN
#124
Carrollton, TX 75007-2484
Mailing address
PO Box 117213
Carrollton, TX 75011-7213
Phone (972) 939-6501
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174753701 | Medicaid | TX | |
| 8T3290 | Other | TX | BCBS PROVIDER |
| 173756101 | Medicaid | TX | |
| 10035118 | Other | TX | AMERIGROUP INDIVIDUAL |
| 10035116 | Other | TX | AMERIGROUP FACILITY |
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)
- Enrolled
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.
-
- Physical Therapy Clinic/Center
- Carrollton, TX
- NPI 1609935477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1700972874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117213",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750117213",
"telephone_number": "972-939-6501",
"fax_number": "866-451-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 N JOSEY LN",
"address_2": "#124",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072484",
"telephone_number": "972-939-6501",
"fax_number": "866-451-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "GUY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174753701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "8T3290",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173756101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP INDIVIDUAL",
"identifier": "10035118",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP FACILITY",
"identifier": "10035116",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.