Active NPI
Jazsa 5, LLC
Doing business as 287 Therapy
- Physical Medicine & Rehabilitation Physician
- Corsicana, TX
National Provider Identifier
1164926564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.