Active NPI
Jennifer L Laurence
- Physical Therapy Assistant
- Waxahachie, TX
National Provider Identifier
1548925159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1295708
- Practice address
- 1329 Brown St
Waxahachie, TX 75165-1418 - Phone
- (972) 937-5999
- NPI assigned
- Nov 8, 2021
- Last updated
- Nov 8, 2021
- 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 Therapy Assistant | 225200000X | 1295708 | TX | Primary |
Addresses
Primary practice location
1329 Brown St
Waxahachie, TX 75165-1418
Mailing address
150 HCR 1436
Covington, TX 76636-4517
Phone (692) 455-6884
Other practice location 1
1329 Brown St
Waxahachie, TX 75165-1418
Phone (972) 937-5999
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | administrator@buffalocreekseniorliving.com | ||
| Other URL | administrator@buffalocreekseniorliving.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1548925159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HCR 1436",
"city": "COVINGTON",
"state": "TX",
"postal_code": "766364517",
"telephone_number": "692-455-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 BROWN ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751651418",
"telephone_number": "972-937-5999"
}
],
"practiceLocations": [
{
"address_1": "1329 Brown St",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "751651418",
"country_code": "US",
"telephone_number": "972-937-5999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURENCE",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "1295708",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "administrator@buffalocreekseniorliving.com",
"affiliation": "N",
"address_1": "1329 Brown St",
"city": "Waxahachie",
"state": "TX",
"country_code": "US",
"postal_code": "751651418",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "administrator@buffalocreekseniorliving.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1329 Brown St",
"city": "Waxahachie",
"state": "TX",
"country_code": "US",
"postal_code": "751651418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.