Jason Ryan Phillips, L.P., C.P. CFTS

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

252 Issued in TX

Practice address

7619 University Ave
Lubbock, TX 79423-2125

Phone

(806) 799-1518

Fax

(806) 799-5462

NPI assigned

Apr 13, 2012

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 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.

• Lubbock Artificial Limb & Brace LTD

  • Prosthetic/Orthotic Supplier
  • Lubbock, TX
  • NPI 1972505147

  Prosthetist

  NPD
• Optimum Rehab, LLC

  • Amputee Clinic/Center
  • Gilbert, AZ
  • NPI 1417227224
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1669739702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232125",
            "telephone_number": "806-799-1518",
            "fax_number": "806-799-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232125",
            "telephone_number": "806-799-1518",
            "fax_number": "806-799-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "credential": "L.P., C.P. CFTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145567702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benny Pothen Phillips, M.D.
• Cynthia Leann Phillips, FNP-C
• Dana Speer Phillips, M.D.
• Debora Phillips
• Dina Denise Phillips
• Kassie Phillips, RN
• Michelle Phillips, FNP
• Rebekah Grace Phillips, M.D.
• Sommer Phillips, MS, LPC
• Sterling Kenton Phillips, L.P., C.P.

• Prosthetist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.