Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Dewayne Mitchell, PTA

Individual provider Physical Therapy Assistant · NPI 1033305529

Jerry Dewayne Mitchell, PTA is a Physical Therapy Assistant in Bullard, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

502 Wendover Ln
Bullard, TX 75757-5175
Phone: (903) 530-2378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2044733 (TX)

Record details

NPI number1033305529
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 19, 2007
Last updated in NPPESSeptember 19, 2007

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