Individual provider Active NPI

Jillian Hope Dykes, DPT

  • Physical Therapist
  • Sylacauga, AL
National Provider Identifier
1790509537
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHT12087 Issued in AL
Practice address
209 W Spring St Ste 101, Sylacauga, Al 35150
Sylacauga, AL 35150
Phone
(256) 401-4662
Fax
(256) 401-4662
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PHT12087 AL Primary

Addresses

Primary practice location

209 W Spring St Ste 101, Sylacauga, Al 35150
Sylacauga, AL 35150

Mailing address

209 W Spring St Ste 101, Sylacauga, Al 35150
Sylacauga, AL 35150
Phone (256) 401-4662

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

LicenseStateTypeSpecialty
PHT12087ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1790509537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 101, SYLACAUGA, AL 35150",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-401-4662",
            "fax_number": "256-401-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST STE 101, SYLACAUGA, AL 35150",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "35150",
            "telephone_number": "256-401-4662",
            "fax_number": "256-401-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "JILLIAN",
        "middle_name": "HOPE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PHT12087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.