JEFFREY BRYAN WHITAKER (DPT) – Physical Therapist, NPI 1013490515

JEFFREY BRYAN WHITAKER (DPT) is a healthcare provider. based in Birmingham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1310937 (TX). The NPI Number for JEFFREY BRYAN WHITAKER (DPT) is 1013490515

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY BRYAN WHITAKER (DPT)
NPI
1013490515
Phone
(423) 238-7217
Address
1200 CORPORATE DR STE 400
Enumeration Date
11 September 2018
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724425287
Graduation Year
2018 (8 years ago)
PAC ID
2365793411
Group Practice PAC ID
0648583344
Professional Enrollment ID
I20180928001107
Address ID
TX750985816WY611XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for JEFFREY BRYAN WHITAKER (DPT)

  • 1200 CORPORATE DR STE 400

    BIRMINGHAM, AL 352425424

    Phone: (423) 238-7217

    Type: Mailing

  • Preston Road, Prosper, Collin County, Texas, 75034, United States

    PROSPER, TX 750788859

    Phone: (972) 347-9756

    Fax: (972) 347-9761

    Type: Location

  • 611 W BROWN ST STE 101

    WYLIE, TX 750985816

    Phone: (972) 442-5287

    Fax: (972) 442-3181

    Type: Location

  • 1212 NORTHWEST HWY

    GARLAND, TX 750415834

    Phone: (469) 630-6700

    Fax: (214) 234-9337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180928001107IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41846$0
97530Therapy procedure using functional activities41848$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes34343$0
97140Therapy procedure using manual technique, each 15 minutes12530$0
97150Therapy procedure in a group setting4423$0
View full utilization report →

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648583344View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm JEFFREY BRYAN WHITAKER (DPT)'s NPI?
Yes. JEFFREY BRYAN WHITAKER (DPT) is listed with NPI 1013490515 in the public NPI dataset.
Does the file indicate JEFFREY BRYAN WHITAKER (DPT) is practicing under active NPI?
Directory data currently reports JEFFREY BRYAN WHITAKER (DPT) as active.
What taxonomy line describes JEFFREY BRYAN WHITAKER (DPT)?
For research purposes, treat JEFFREY BRYAN WHITAKER (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JEFFREY BRYAN WHITAKER (DPT) on a map?
Expect Birmingham, Alabama as a primary anchor for JEFFREY BRYAN WHITAKER (DPT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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