Alicia Jobe

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3398 Issued in OK

Practice address

1107 W Broadway St
Ardmore, OK 73401-2833

Phone

(580) 226-5566

Fax

(580) 226-5567

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Summit Rehab LLC

  dba Prohab Therapy Specialists

  • Physical Therapist
  • Madill, OK
  • NPI 1447480082

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1609543982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 4TH AVE NW # 296",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012708",
            "telephone_number": "580-226-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012833",
            "telephone_number": "580-226-5566",
            "fax_number": "580-226-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erinw@prohabsecure.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1107 W Broadway St",
            "city": "Ardmore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "734012833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey a Rother, MD, PC
• Dennis Ray Jenkins, DPH
• Rilee Jenkins
• Jim Wallace & Associates, Inc (The Jetty Counseling Center)
• Jim Wallace and Associates Inc. (The Jetty Counseling Center)
• John B. Barringer OD PC
• Johnny D Green MSHR, LPC,PC
• Carolyn Johnson
• Cody Johnson
• Darbee Johnson

• Physical Therapy Assistant in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.