J
IndividualActive
Jack Douglas
Physical Therapist
NPI: 1508054404Monticello, Mississippi, 39654(601) 587-7115Male
About Jack Douglas
Jack Douglas is a male healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1508054404. Their primary practice is located at 1065 E BROAD ST, Monticello, Mississippi 39654.
Patients can reach the office at (601) 587-7115. Jack Douglas has been NPI-registered since 2007.
Doctor Details
Identity & Credentials
- NPI Number
- 1508054404
- Entity Type
- Individual
- First Name
- Jack
- Last Name
- Douglas
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 1065 E BROAD ST
- City
- Monticello
- State
- Mississippi
- ZIP
- 39654-7703
- Country
- United States
- Phone
- (601) 587-7115
Specialty & Taxonomy
- Primary Specialty
- Physical Therapist
- Classification
- Physical Therapist
- Taxonomy Code
- 225100000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 4109 HIGHWAY 98 W
- City
- SUMMIT
- State
- MS
- ZIP
- 396669132
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jack Douglas's NPI number?
Jack Douglas's National Provider Identifier (NPI) is 1508054404. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack Douglas specialize in?
Jack Douglas specializes in Physical Therapist.
Where is Jack Douglas located?
Jack Douglas practices at 1065 E BROAD ST, Monticello, Mississippi 39654. You can reach them by phone at (601) 587-7115.
Does Jack Douglas accept Medicare?
Based on available data, Jack Douglas is not currently enrolled in the Medicare program.
Does Jack Douglas offer telehealth or virtual visits?
Jack Douglas does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Douglas is 1508054404.