Jennifer Ann Lacross, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5428 Issued in OK

Practice address

3500 S Boulevard Ste A1
Edmond, OK 73013-5490

Phone

(405) 513-8118

NPI assigned

Aug 13, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer A Kurz Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Move Physical Therapy PLLCGroup PAC ID 9133519788, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Move Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Monroe, MI
  • NPI 1467975615

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1033518204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S BOULEVARD STE A1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135490",
            "telephone_number": "405-513-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S BOULEVARD STE A1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135490",
            "telephone_number": "405-513-8118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Oxford Dr",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462355",
            "country_code": "US",
            "telephone_number": "412-380-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROSS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023835",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KURZ",
            "middle_name": "A",
            "credential": "PT ,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Ray La Fuente, BCO, BADO
• Laboratory Corporation of America
• Laboratory Corporation of America
• Catrina Labrie, LPC
• Caleb Wayne Lack, PH.D.
• Debra Lacy, M.S., CCC
• Michael Lacy, PHD,, LBP, NCSP
• Michael Lacy
• Michelle Ranae Lacy, APRN-CNM
• Ranard Ladd

• Physical Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.