Stephanie Elaine Jasso, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2131662 Issued in TX

Practice address

1500 N Hobart St
Pampa, TX 79065-4126

Phone

(806) 419-1168

NPI assigned

Nov 6, 2019

Last updated

Mar 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Back2Activity Physical Therapy, PLLC

  • Physical Therapist
  • Pampa, TX
  • NPI 1043879018
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1043854649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 CHEROKEE DR",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N HOBART ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790654126",
            "telephone_number": "806-419-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSO",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2131662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayodele Oluropo Ifarajimi, DMD
• Iota Medical Equipment Inc (Rotech)
• J. Scott Ellis, DO, PA (Texas Plains Women's Center)
• Shannah Kay James, LMSW
• Hillary Jameson
• J. A. Johnson, D.D.S.
• Gisel Arlette Jones, LCSW
• Laxmichand Kamnani, M.D.
• Nirmala Kamnani, M.D.
• Danina L Kennedy, L.P.C.

• Physical Therapy Assistant in Pampa, TX
• Providers in Pampa, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.