Lifesplan Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIFESPLAN PHYSICAL THERAPY, PLLC

Practice address

121 NW 6TH St
Guymon, OK 73942-4206

Phone

(580) 522-1245

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Rachel Inez Jones, PTNPI 1346503661

Title

Owner

Phone

(580) 522-1245

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

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

• Rachel Inez Jones, PT

  • Physical Therapist
  • Guymon, OK
  • NPI 1346503661

  OK, Physical Therapist

  Medicare reassignment NPD Authorized official
• Britney Laine Scott, PTA

  • Physical Therapy Assistant
  • Guymon, OK
  • NPI 1467798041
  NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1760195879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739420302",
            "telephone_number": "580-522-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW 6TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424206",
            "telephone_number": "580-522-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPLAN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-522-1245",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100636070C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kennedy
• Dylan Wesley Koehn, DDS
• Emily Layton
• Macy Legrange
• Kristy Lynn Lehr, MA
• Jeffrey J Lim, MD
• Joni R Loughridge
• Steven Macias
• Isabel Makwangwala
• Christy Janette Martens

• All providers in Guymon, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.