JASON RYAN PHILLIPS (NPI# 1669739702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669739702 |
| Entity Type | Individual |
| Full Name | JASON RYAN PHILLIPS |
| Credential | L.P., C.P. |
| Practice Address |
4421 19th St Lubbock TX 79407-2408 |
| Practice Telephone | 8067991518 |
| Practice Fax Number | 8067995462 |
| Mailing Telephone | 8067991518 |
| Mailing Fax Number | 8067995462 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 252 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145567702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376569 | Jason Scott Phillips | Chiropractor | 307 E Ovilla Rd Ste 100, Red Oak, TX 75154-3896 | 2017-06-20 |
| 1558700559 | Jason Joseph Phillips | Obstetrics & Gynecology | 1560 Kingsley Ave Ste 4, Orange Park, FL 32073-9200 | 2013-06-24 |
| 1649577248 | Jason A Phillips | Dentist | 230 Harrisburg Ave., Lancaster, PA 17603 | 2011-02-16 |
| 1417120387 | Jason Michael Phillips | Urology | 3907 Waring Rd Ste 4, Oceanside, CA 92056-4454 | 2008-04-10 |
| 1518054287 | Jason L. Phillips | Chiropractor | 830 Hendersonville Rd, Asheville, NC 28813 | 2006-10-06 |
| 1760442685 | Jason Robert Phillips | Internal Medicine | 615 Camelot Dr., Harlingen, TX 78550 | 2006-03-24 |
| 1992177299 | Jason Dean Phillips | Counselor | 300 H St, Needles, CA 92363-2928 | 2015-10-26 |
| 1104296243 | Jason Alexander Phillips | Pharmacist | 533 Parnassus Ave, Room U585, San Francisco, CA 94143-2208 | 2015-10-01 |
| 1689911539 | Jason Lamar Phillips | Social Worker | 4925 Packard St, Ann Arbor, MI 48108-1521 | 2013-01-12 |
| 1558655431 | Jason Scott Phillips | Internal Medicine | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2011-06-08 |
| Street Address |
4421 19TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505147 | Lubbock Artificial Limb & Brace Ltd | Prosthetic/Orthotic Supplier | 4421 19th St, Lubbock, TX 79407-2408 | 2005-06-01 |
| 1417450032 | Neil Joseph Jones | Prosthetist | 4421 19th St, Lubbock, TX 79407-2408 | 2018-03-09 |
| 1134486277 | Sterling Kenton Phillips | Prosthetist | 4421 19th St, Lubbock, TX 79407-2408 | 2012-04-13 |
| 1710244850 | Keith Michael Strattan | Prosthetist | 4421 19th St, Lubbock, TX 79407-2408 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144712605 | Richard Shane Treider | Prosthetist | 4511 49th St, Lubbock, TX 79414-3607 | 2018-05-31 |
| 1417450032 | Neil Joseph Jones | Prosthetist | 4421 19th St, Lubbock, TX 79407-2408 | 2018-03-09 |
| 1134486277 | Sterling Kenton Phillips | Prosthetist | 4421 19th St, Lubbock, TX 79407-2408 | 2012-04-13 |
| 1710244850 | Keith Michael Strattan | Prosthetist | 4421 19th St, Lubbock, TX 79407-2408 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.