Jade Oasis LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 17093 Issued in FL

Legal business name

JADE OASIS LLC

Practice address

4180 SE Geneva Dr
Stuart, FL 34997-5590

Phone

(772) 284-1128

Fax

(772) 463-7137

NPI assigned

Nov 30, 2006

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lillian L Kwong, PT

Title

Owner

Phone

(772) 284-1128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1124195334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "PORT SALERNO",
            "state": "FL",
            "postal_code": "349920827",
            "telephone_number": "772-284-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SE GENEVA DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975590",
            "telephone_number": "772-284-1128",
            "fax_number": "772-463-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-284-1128",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 17093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyasia Jackson
• Brittany Nicole Jacobs
• Paula Jacobs
• Pyper McAll Jacobs
• Carla Jacques
• Arlene R. Jaffe, D.D.S.
• Eric Neil Jaffe, DMD
• Hanna Jahn
• Thomas T Jahn, CRNA
• Jaidev PA

• Physical Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.