Active NPI
Jay F Lozada, P.T.
- Physical Therapist
- Jackson, OH
National Provider Identifier
1326366923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.007802
- Practice address
- 280 Pattonsville Rd
Jackson, OH 45640-9452 - Phone
- (740) 395-8805
- Fax
- (740) 395-8855
- NPI assigned
- May 7, 2010
- Last updated
- Feb 18, 2014
- Sex
- Male
- 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 | PT.007802 | OH | Primary |
Addresses
Primary practice location
280 Pattonsville Rd
Jackson, OH 45640-9452
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 395-8805
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000301941 | Other | OH | OHO MEDICAID UNISOURCE |
| 0309027 | Other | CIGNA | |
| 10031001 | Other | WV | BWC |
| 000000658779 | Other | ANTHEM | |
| 3810017531 | Medicaid | WV | |
| P00841139 | Other | OH | RR MEDICARE |
| 3041824 | Other | OH | OH MEDICAID MOLINA |
| 310917085167 | Other | OH | OH MEDICAID CARESOURCE |
| 3041827 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.007802 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1326366923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-395-8805",
"fax_number": "740-395-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PATTONSVILLE RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409452",
"telephone_number": "740-395-8805",
"fax_number": "740-395-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZADA",
"first_name": "JAY",
"middle_name": "F",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.007802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHO MEDICAID UNISOURCE",
"identifier": "000000301941",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0309027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "10031001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000658779",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810017531",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00841139",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID MOLINA",
"identifier": "3041824",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID CARESOURCE",
"identifier": "310917085167",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3041827",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.