Individual provider Active NPI

James Randall Jones, PHYSICAL THERAPIST

  • Physical Therapist
  • Clinton, OK
National Provider Identifier
1538177142
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2536 Issued in OK
Practice address
509 S 30TH St
Clinton, OK 73601-3632
Phone
(580) 323-8778
Fax
(866) 490-4693
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2536 OK Primary

Addresses

Primary practice location

509 S 30TH St
Clinton, OK 73601-3632

Mailing address

PO Box 86
Clinton, OK 73601-0086
Phone (580) 323-8778

Other practice location 1

2121 S Yukon Pkwy Ste 200
Yukon, OK 73099-7482
Phone (405) 578-5447

Other practice location 2

12301 N Western Ave Ste 102
Oklahoma City, OK 73114-8017
Phone (405) 442-0144

Other practice location 3

424 N State St
Weatherford, OK 73096-5121
Phone (580) 772-8778

Other identifiers 5

IdentifierTypeStateIssuer
100664370BMedicaidOK
73159OtherOKKEMPTON CO./ FIRST HEALTH
100604370AMedicaidOK
245803201OtherOKMEDICARE CROSSOVER CLAIMS
245803201OtherOKMEDICARE MSP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000018 OK Practitioner - Physical Therapist in Private Practice 5799717831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2536OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therawest LLC Physical Therapist CurrentSince Oct 1, 2007 Accepting new patients
Therawest LLC Physical Therapist CurrentSince Oct 1, 2007 Accepting new patients

Locations

509 S 30th St
Clinton, OK 73601
Phone (580) 323-8778

1930 W Gary Blvd
Clinton, OK 73601
Phone (580) 323-8778

12301 N Western Ave
Ste 102
Oklahoma City, OK 73114
Phone (405) 442-0144

424 N State St
Weatherford, OK 73096
Phone (580) 772-8778

2121 S Yukon Pkwy
Ste 200
Yukon, OK 73099
Phone (405) 578-5447

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1538177142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736010086",
            "telephone_number": "580-323-8778",
            "fax_number": "866-490-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013632",
            "telephone_number": "580-323-8778",
            "fax_number": "866-490-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S Yukon Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730997482",
            "country_code": "US",
            "telephone_number": "405-578-5447",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12301 N Western Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731148017",
            "country_code": "US",
            "telephone_number": "405-442-0144",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 N State St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730965121",
            "country_code": "US",
            "telephone_number": "580-772-8778",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100664370B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEMPTON CO./ FIRST HEALTH",
            "identifier": "73159",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100604370A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CROSSOVER CLAIMS",
            "identifier": "245803201",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MSP",
            "identifier": "245803201",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.