Individual provider Active NPI

Jake Curry McMillin

  • Physical Therapist
  • Tahoka, TX
National Provider Identifier
1124996483
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1367039 Issued in TX
Practice address
2600 Lockwood St
Tahoka, TX 79373-4118
Phone
(806) 561-1340
Fax
(806) 507-1340
NPI assigned
Oct 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1367039 TX Primary

Addresses

Primary practice location

2600 Lockwood St
Tahoka, TX 79373-4118

Mailing address

5319 30TH St
Lubbock, TX 79407-3515
Phone (806) 561-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1367039TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1124996483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 30TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073515",
            "telephone_number": "806-561-1340",
            "fax_number": "806-507-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LOCKWOOD ST",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "793734118",
            "telephone_number": "806-561-1340",
            "fax_number": "806-507-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "JAKE",
        "middle_name": "CURRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1367039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahoka, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.