Jessie Kaye Koyle Dodwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1335895 Issued in TX

Practice address

2201 W Lampasas St
Ennis, TX 75119-5644

Phone

(972) 875-0900

Fax

(469) 256-2341

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By 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

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1114502416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-0900",
            "fax_number": "469-256-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-0900",
            "fax_number": "469-256-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODWELL",
        "first_name": "JESSIE",
        "middle_name": "KAYE KOYLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1335895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Davis, DDS
• William C. Davis, CHIROPRACTOR
• Barry Herron Davison, MD
• Amanda Defrance Dell'Aira, CCC-SLP
• DFW Oral and Maxillofacial Surgery Ennis, LLC
• Amy Leigh Dojahn
• Chandler Dominguez
• Leslie Elaine Donet, RN, FNP-BC
• Dr. Fredric Puckett, PLLC
• Emily Dubrick, DC

• Physical Therapist in Ennis, TX
• Providers in Ennis, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.