Rebecca Jo Jackson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2710 Issued in OK

Practice address

735 N Foreman St
Vinita, OK 74301-1422

Phone

(918) 256-9207

Fax

(918) 256-9209

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Jo Straw Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rjackson@saintfrancis.com

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1124604525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N FOREMAN ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011422",
            "telephone_number": "918-256-9207",
            "fax_number": "918-256-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RJackson@saintfrancis.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "735 N Foreman St",
            "city": "Vinita",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743011422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STRAW",
            "middle_name": "JO",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Galen Rean Huxall, PHARM.D
• Robi J Inman
• Integris Grove Hospital
• Alicia Ann Irvin, PH.D.
• Ruth Irving
• Benjamin Jacobs, PHARMD
• Jennifer Janousek
• Travis Jay Jarrett
• Trena Irene Jarrett, PTA
• Melanie Jasper

• Physical Therapy Assistant in Vinita, OK
• Providers in Vinita, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.