Jared McDougal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1296596 Issued in TX

Practice address

2431 S Loop 289
Lubbock, TX 79423-1519

Phone

(806) 771-8008

Fax

(806) 771-8009

NPI assigned

Aug 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1003174087
  Medicare reassignment NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487179974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008",
            "fax_number": "806-771-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008",
            "fax_number": "806-771-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4642 N Loop 289 Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794162424",
            "country_code": "US",
            "telephone_number": "806-771-1352",
            "fax_number": "806-771-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4138 19th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072403",
            "country_code": "US",
            "telephone_number": "806-780-2329",
            "fax_number": "806-780-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6202 82nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243691",
            "country_code": "US",
            "telephone_number": "806-687-8008",
            "fax_number": "806-687-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "JARED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1296596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375553001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8HE728",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E. McDonald, M.D.
• Kirsten McDonald, LPC
• Roberta McDonald, LMSW CEAP
• Steven John McDonald, DPT
• Barbara Anne McDougal, M.D.
• Carolyn Barker McDougald, D.O.
• McDowell Hill Services LLC (Brain Balance of Lubbock)
• John S McDowell, R.PH
• Sarah J. McDowell, LPC
• Ashley McElroy, MS, LMFT

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.