Active NPI
Stacy Marie Jarzombek, MPT
- Physical Therapist
- Midland, TX
National Provider Identifier
1245422682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1131043
- Practice address
- 301 Dodson St
Midland, TX 79701-6334 - Phone
- (432) 687-0235
- Fax
- (432) 570-8713
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1131043 | TX | Primary |
Addresses
Primary practice location
301 Dodson St
Midland, TX 79701-6334
Mailing address
301 Dodson St
Midland, TX 79701-6334
Phone (432) 687-0235
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1131043 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1245422682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 DODSON ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016334",
"telephone_number": "432-687-0235",
"fax_number": "432-570-8713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 DODSON ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016334",
"telephone_number": "432-687-0235",
"fax_number": "432-570-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARZOMBEK",
"first_name": "STACY",
"middle_name": "MARIE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1131043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.