JOSEPH G TERRY (PT) – Physical Therapist, NPI 1639139884

JOSEPH G TERRY (PT) is a healthcare provider. based in Washington, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070008578 (IL). The NPI Number for JOSEPH G TERRY (PT) is 1639139884

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH G TERRY (PT)
NPI
1639139884
Phone
(309) 444-1030
Address
1003 N CUMMINGS LN
Enumeration Date
23 March 2006
Last Update Date
5 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
8729009790
Group Practice PAC ID
9638087877
Professional Enrollment ID
I20051219000324
Address ID
IL612658401MO850XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for JOSEPH G TERRY (PT)

  • 1003, North Cummings Lane, Washington, Tazewell County, Illinois, 61571, United States

    WASHINGTON, IL 615719646

    Phone: (309) 444-1030

    Fax: (309) 444-1060

    Type: Mailing

  • 43rd Avenue, Cloverleaf Village, Moline, Rock Island County, Illinois, 61265, United States

    MOLINE, IL 612658401

    Phone: (309) 743-2070

    Fax: (309) 743-2073

    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: 2005-12-19

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
I20051219000324IPhysical Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61571)

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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: 9638087877View full group profile
NameSpecialtyState
-IA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
-IA

Reviews

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Frequently asked questions

What is JOSEPH G TERRY (PT)'s NPI number?
JOSEPH G TERRY (PT)'s NPI is 1639139884 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOSEPH G TERRY (PT)?
For scheduling context, JOSEPH G TERRY (PT) is shown as active in the registry.
What expertise is attributed to JOSEPH G TERRY (PT)?
JOSEPH G TERRY (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Illinois is JOSEPH G TERRY (PT) registered?
Use Washington, Illinois as the headline location for JOSEPH G TERRY (PT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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