Provider Demographics
NPI:1376580928
Name:MCDIARMID, JAMES CARLYLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CARLYLE
Last Name:MCDIARMID
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2564
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:1713 MONTGOMERY HWY STE 131
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1254
Practice Address - Country:US
Practice Address - Phone:205-403-8701
Practice Address - Fax:205-403-8702
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1393225100000X
ALPTH6681225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1393OtherPT LICENCE #
AK1393OtherPT LICENCE #
AL102I654373Medicare Oscar/Certification