Jack Douglas
NPI 1508054404 · Physical Therapist · Monticello, MS
Jack Douglas is a Physical Therapist provider in Monticello, MS (NPI 1508054404).
Provider details
- NPI number
- 1508054404
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT3353 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2010-04-07
Frequently asked questions
- What is Jack Douglas's NPI number?
- Jack Douglas's National Provider Identifier (NPI) is 1508054404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Douglas's specialty?
- Jack Douglas is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jack Douglas located?
- Jack Douglas's practice location on file with NPPES is 1065 E Broad St, Monticello, MS 39654-7703.
- What is Jack Douglas's phone number?
- The practice phone number listed in the NPPES registry for Jack Douglas is (601) 587-7115.
- Is Jack Douglas's NPI active?
- Yes — Jack Douglas's NPI (1508054404) is active in the NPPES registry as of the last update on 2010-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.