Active NPI
Jennilyn Q Lapham, P.T.
- Physical Therapist
- Madera, CA
National Provider Identifier
1124143995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18774
- Practice address
- 509 S I St
Suite a
Madera, CA 93637-4660 - Phone
- (615) 778-4066
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18774 | CA | Primary |
Addresses
Primary practice location
509 S I St
Suite a
Madera, CA 93637-4660
Mailing address
720 Cool Springs Blvd
Suite 300
Franklin, TN 37067-2626
Phone (615) 778-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35324 Hwy 41
Suite D
Coarsegold, CA 93614-8302
Phone (559) 641-5445
35324 Hwy 41 D
Coarsegold, CA 93614-9285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coarsegold Physical Therapy, Incorporated | Physical Therapist | Current | Accepting new patients |
| Mountain Medical Supply LLC | Past | Accepting new patients |
Locations
35324 Highway 41
Ste D
Coarsegold, CA 93614
Phone (559) 641-5445
35344 Highway 41
Ste D
Coarsegold, CA 93614
Phone (559) 760-7022
Organizations & group practices 2
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.
-
- Physical Therapist
- Coarsegold, CA
- NPI 1659563393
-
- Durable Medical Equipment & Medical Supplies
- Coarsegold, CA
- NPI 1447818240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124143995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 COOL SPRINGS BLVD",
"address_2": "SUITE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672626",
"telephone_number": "615-778-4066",
"fax_number": "615-778-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S I ST",
"address_2": "SUITE A",
"city": "MADERA",
"state": "CA",
"postal_code": "936374660",
"telephone_number": "615-778-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPHAM",
"first_name": "JENNILYN",
"middle_name": "Q",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "18774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.