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
Mailing address502 Wendover Ln, Bullard, TX 75757-5175

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