Jack Douglas
Physical Therapist · Monticello, MS
Jack Douglas is a physical therapist with a practice address in Monticello, Mississippi, and NPI 1508054404, issued on Oct 5, 2007. Check the license (Mississippi PT3353, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Douglas
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT3353 MS
Self-reported in NPPES; status is on the state search - Practice location
- 1065 E Broad St, Monticello, MS 39654
- Phone
- (601) 587-7115
- Enumerated
- Oct 5, 2007
- Record last updated
- Apr 7, 2010 (not updated in 16 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 1065 E Broad St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kimberly LewisPhysical Therapist1316172505
- Kiley McLendon, FNPFamily Nurse Practitioner1780849109
- Becky Mercier, RN, CFNPFamily Nurse Practitioner1083726491
- Bruce Prive, FNPFamily Nurse Practitioner1730358201
- Shannon SmithOccupational Therapy Assistant1275860926
- Rhonda Thomas, FNP-C, ACNPNurse Practitioner1184971046
Verify Jack Douglas in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license PT3353Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3 physical therapist records list a practice address in Monticello
They are 3 of the 55 NPPES records with a practice address in Monticello, and 1,699 physical therapist records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3 in Monticello → All 1,699 in Mississippi → Every provider in Monticello →
Other physical therapist records in Mississippi
- Hannah Abbey, PT, DPTHattiesburg, MS1417713405
- Jasen Abraham, DPTColumbus, MS1598051112
- Kenneth AckermanGulfport, MS1992812135
- Felix Adah, RPT, PHDJackson, MS1952528929
- James Adams, D.P.TGreenville, MS1245453653
- Kristin Adams, P.T.Fulton, MS1952607491
- Lauren Adams, DPTLeland, MS1669611745
- Stephanie Adams, PT, OTR/LTupelo, MS1164711776
- William Adams, DPTFlowood, MS1730484395
- Benjamin AdcockFlowood, MS1164897807
Common questions
What is Jack Douglas's NPI number?
Jack Douglas's National Provider Identifier (NPI) is 1508054404, issued on Oct 5, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jack Douglas located?
The NPPES record lists a practice address at 1065 E Broad St, Monticello, MS, 39654. Phone: (601) 587-7115. Providers update this record themselves, so call before visiting.
How can I verify Jack Douglas's license?
NPPES lists Mississippi license number PT3353, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.