JACK DOUGLAS
NPI 1508054404
Physical Therapist in Monticello, MS

Active since October 05, 2007
1065 E BROAD ST, MONTICELLO, MS 39654(601) 587-7115 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK DOUGLAS (NPI 1508054404) is an individual physical therapist in Monticello, Mississippi, licensed in Mississippi (PT3353) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1508054404
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACK DOUGLAS
Location Address1065 E BROAD STMonticello, MS 39654-7703
Mailing Address4109 Highway 98 WSummit, MS 39666-9132
Sole ProprietorYes
Enumeration DateOctober 5, 2007
Last NPPES UpdateApril 7, 2010
NPI 1508054404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MS · PT3353
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

1065 E BROAD ST, Monticello, MS 39654

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1065 E BROAD ST
MONTICELLO, MS 39654
Nurse Practitioner (Family)
1065 E BROAD ST
MONTICELLO, MS 39654
Urology
1065 E BROAD ST
MONTICELLO, MS 39654
Nurse Practitioner
1065 E BROAD ST
MONTICELLO, MS 39654
Internal Medicine (Cardiovascular Disease)
1065 E BROAD ST
MONTICELLO, MS 39654
Occupational Therapy Assistant
1065 E BROAD ST
MONTICELLO, MS 39654
Physical Therapist
1065 E BROAD ST
MONTICELLO, MS 39654
Hospitalist
1065 E BROAD ST
MONTICELLO, MS 39654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Douglas's NPI number?

The NPI number for Jack Douglas is 1508054404. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Jack Douglas located?

Jack Douglas practices at 1065 E Broad St, Monticello, MS 39654. The listed phone number is (601) 587-7115.

What is Jack Douglas's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jack Douglas was last updated on April 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.