Organization Active NPI

Jazsa 5, LLC

Doing business as 287 Therapy

  • Physical Medicine & Rehabilitation Physician
  • Corsicana, TX
National Provider Identifier
1164926564
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
JAZSA 5, LLC
Doing business as
287 Therapy
Practice address
3728 S Hwy 287
Corsicana, TX 75109-8960
Phone
(903) 874-6315
Fax
(903) 874-6387
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Betsy Stroder, OTR
Title
President/Otr
Phone
(903) 874-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3728 S Hwy 287
Corsicana, TX 75109-8960

Mailing address

3728 S Hwy 287
Corsicana, TX 75109-8960
Phone (903) 874-6315

Other names 1

  • 287 Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3728 S US Highway 287
Corsicana, TX 75109
Phone (903) 874-6315

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1164926564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 S HWY 287",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751098960",
            "telephone_number": "903-874-6315",
            "fax_number": "903-874-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S HWY 287",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751098960",
            "telephone_number": "903-874-6315",
            "fax_number": "903-874-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAZSA 5, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "STRODER",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PRESIDENT/OTR",
        "authorized_official_telephone_number": "903-874-6315",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "287 Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.