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

Individual provider Physical Therapist · NPI 1962071050

James Ryan Wall, DPT is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2021, 5 years ago. Practices with Sog Physical Therapy, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (662) 432-1523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 — (601) 892-6330

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7109 (MS)

Record details

NPI number1962071050
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sog Physical Therapy — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo