Jadam Lawton LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JADAM LAWTON LLC

Practice address

1354 NW Homestead Dr
Lawton, OK 73505-5223

Phone

(580) 699-5455

Fax

(580) 215-4991

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Rodrick

Title

Office Manager

Phone

(580) 699-5455

Specialties & licenses 1

Addresses

Other names 1

• Fusion Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Allen Manning, P.T.

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1942232392
  Medicare reassignment Care Compare group NPD
• Kyle Ray, DPT

  • Physical Therapist
  • Lawton, OK
  • NPI 1750981759
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1053768028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 NW HOMESTEAD DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055223",
            "telephone_number": "580-699-5455",
            "fax_number": "580-215-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 NW HOMESTEAD DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055223",
            "telephone_number": "580-699-5455",
            "fax_number": "580-215-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7602 US Highway 277 Unit A",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "OK",
            "postal_code": "735382140",
            "country_code": "US",
            "telephone_number": "580-699-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JADAM LAWTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "RODRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-699-5455"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fusion Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Jackson, D.D.S
• Yvonne Ann Jackson
• Cordelia Jacobi
• Monica Jacobi, OTR/L
• Liane Jacobson
• James a Edwards OD PC
• James Family Medical PLLC
• Jennifer Iris James, MD
• Lauren Nicole James, DPT
• Brian Andrew Janek, PA-C

• Physical Medicine & Rehabilitation Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.