Human Performance Center 3 PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

HUMAN PERFORMANCE CENTER 3 PLLC

Practice address

520 Flynn St
Alva, OK 73717-2240

Phone

(580) 327-3331

Fax

(580) 327-3314

NPI assigned

Mar 16, 2007

Last updated

Jul 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerrad HadaNPI 1679922462

Title

Partner/Therapist

Phone

(580) 327-3331

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerrad Hada, PT

  • Physical Therapist
  • Alva, OK
  • NPI 1679922462

  Sports Medicine

  Medicare reassignment NPD Authorized official
• Haley Patz Nida, PT, DPT

  • Physical Therapist
  • Alva, OK
  • NPI 1396396131
  NPD
• Cynthia A Goss, PT

  • Physical Therapist
  • Alva, OK
  • NPI 1225111297
  NPD (past)
• Steven Wayne Nelson, P.T.

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1770514374
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1669506978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26243",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260243",
            "telephone_number": "580-327-3331",
            "fax_number": "580-327-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FLYNN ST",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172240",
            "telephone_number": "580-327-3331",
            "fax_number": "580-327-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE CENTER 3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "HADA",
        "authorized_official_first_name": "JERRAD",
        "authorized_official_title_or_position": "PARTNER/THERAPIST",
        "authorized_official_telephone_number": "580-327-3331"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "800522226",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kohannah Hess, BS
• Holder-Southern Drug Company Inc (Holder Drug)
• John Todd Holder
• Gwyneth Leigh Holderby, DNP
• Melissa Hook
• Megan A Isaacs
• Delissa Leann Jantz, BS
• Lacey Michelle Jones, ATC
• Jordan Chiropractic, P.C. (Advanced Chiropractic)
• Adam Jordan, DPH

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Alva, OK
• Providers in Alva, OK by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.