Jap Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JAP PHYSICAL THERAPY

Practice address

601 S Great Southwest Pkwy Ste 106
Grand Prairie, TX 75051-1057

Phone

(214) 419-2528

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Augustine Nubea Fombon, DPT

Title

Owner

Phone

(214) 718-9593

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Divine Lovala Kuja

  • Physical Therapist
  • Grand Prairie, TX
  • NPI 1922650100
  NPD

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1710537022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S GREAT SOUTHWEST PKWY STE 106",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511057",
            "telephone_number": "214-419-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GREAT SOUTHWEST PKWY STE 106",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511057",
            "telephone_number": "214-419-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAP PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "FOMBON",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "NUBEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-718-9593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE YET",
            "identifier": "NONE",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anfombon@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "mail",
            "address_1": "601 S Great Southwest Pkwy Ste 106",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750511057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nadine James
• Amanda Brook Jameson, PT DPT
• Janet Nash
• Sireesha Janga, MD
• Jap Clinic Inc
• Jas Health Services (Mount Calvary)
• Ehsan Javidan-Nejad, DDS
• JDM Healthcare Services LLC
• Shelline Jeanty, LMSW
• Ashley Jeffers-Bravo

• Physical Therapy Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.