Jakara Adrian Mayfield, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1189273 Issued in TX

Practice address

1521 E Business 190
Copperas Cove, TX 76522-2343

Phone

(254) 238-7836

Fax

(833) 238-8515

NPI assigned

Jan 5, 2009

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jakara Adrian Woods Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1417193905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 HAVERFORD AVE",
            "address_2": "APT. E222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512938",
            "telephone_number": "610-609-6958",
            "fax_number": "610-237-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E BUSINESS 190",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222343",
            "telephone_number": "254-238-7836",
            "fax_number": "833-238-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411419",
            "country_code": "US",
            "telephone_number": "610-525-4000",
            "fax_number": "610-526-6742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "JAKARA",
        "middle_name": "ADRIAN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018674",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1189273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKARA",
            "last_name": "WOODS",
            "middle_name": "ADRIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• M D Young OD PA (Cove Eyecare)
• Annastecia Ogechi Madu
• Ayesha Maqsood, D.D.S
• Naisy Ivette Marrero Ramos, FNP
• Diane Elaine Masullo, MS, LPC, LMFT
• Cassidy Jo Mayo, PHARM D
• Calvin O. McClure, LPC
• Cortney Craig McGinnis Jr., PHARM.D.
• Valarie Vashaun McLeain, LVN
• Dino Medic

• Physical Therapist in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.