Healthcare Provider Details

I. General information

NPI: 1710329867
Provider Name (Legal Business Name): JAMES E TERRILL A.T.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 TANGLEWOOD DR
LANGHORNE PA
19047-5728
US

IV. Provider business mailing address

23 TANGLEWOOD DR
LANGHORNE PA
19047-5728
US

V. Phone/Fax

Practice location:
  • Phone: 215-378-3246
  • Fax:
Mailing address:
  • Phone: 215-378-3246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034261
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: