James Paul Aycock Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1053601 Issued in TX

Practice address

105 Boehm Dr
Shiner, TX 77984-6288

Phone

(361) 594-8301

Fax

(361) 594-3033

NPI assigned

Mar 24, 2011

Sex

Male

Sole proprietor

No

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.

• Advanced PT Services, Inc

  • Physical Therapy Clinic/Center
  • Shiner, TX
  • NPI 1689963324

  Physical Therapist

  NPD (past)
• Premier Therapeutic Occ Rehabilitation

  • Physical Therapist
  • San Antonio, TX
  • NPI 1427003839
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2011.

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1922307362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BOEHM DR",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779846288",
            "telephone_number": "361-594-8301",
            "fax_number": "361-594-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BOEHM DR",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779846288",
            "telephone_number": "361-594-8301",
            "fax_number": "361-594-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYCOCK",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1053601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Adamek
• Advanced PT Services, Inc
• Stephen K Ansel, PA
• Marshall C Bishop, MD
• Joy Sharon Bowen, M.D.
• Kirsten Machicek Bussell, PA -C
• Jennie Moerbe Chrismon, PT
• Melanie Sue Cowan, D.D.S.

• All providers in Shiner, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.