JAP PHYSICAL THERAPY (NPI# 1710537022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710537022 |
Entity Type | Organization |
Organization Name | JAP PHYSICAL THERAPY |
Practice Address |
601 S Great Southwest Pkwy Ste 106 Grand Prairie TX 75051-1057 |
Practice Telephone | 2144192528 |
Mailing Telephone | 2144192528 |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-18 |
Authorized Official Name | DR. AUGUSTINE NUBEA FOMBON (OWNER) |
Authorized Official Telephone | 2147189593 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | NONE YET | NONE | 01 |
Street Address |
601 S GREAT SOUTHWEST PKWY STE 106 |
City | GRAND PRAIRIE |
State | TX |
Zip Code | 75051-1057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922650100 | Divine Lovala Kuja | Physical Therapist | 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 | 2019-07-09 |
1851919369 | Jap Clinic Inc | Clinic/Center | 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 | 2020-07-10 |
1679195523 | Jap Care, Inc | In Home Supportive Care | 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 | 2020-05-14 |
1033754890 | Augustine Nubea Fombon | Clinic/Center | 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 | 2019-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
Find all providers in zip 75051 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417167644 | Camelot Health Care Corporation | Clinic/Center | 310 E Pioneer Pkwy, Grand Prairie, TX 75051-4940 | 2007-05-23 |
1003849985 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2100 North Highway 360, Suite 2201, Grand Prairie, TX 75050 | 2006-07-07 |
1093746034 | Classic Rehabilitation Inc | Clinic/Center | 504 N Carrier Parkway, Grand Prairie, TX 75050-5428 | 2006-07-06 |
1851919369 | Jap Clinic Inc | Clinic/Center | 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 | 2020-07-10 |
1033754890 | Augustine Nubea Fombon | Clinic/Center | 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 | 2019-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
Find all providers with the same taxonomy |
City | GRAND PRAIRIE |
Zip Code | 75051 |
Please comment or provide details below to improve the information on JAP PHYSICAL THERAPY.
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.