Jaina Soodsma

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3784 Issued in OK

Practice address

715 W Main St Ste F
Jenks, OK 74037-3553

Phone

(918) 298-2381

NPI assigned

Sep 25, 2024

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

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.

• South Tulsa Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Jenks, OK
  • NPI 1487730958

  Physical Therapist

  NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1780401273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE F",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373553",
            "telephone_number": "918-298-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE F",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373553",
            "telephone_number": "918-298-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOODSMA",
        "first_name": "JAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Faith Smith
• Deanna Smith, COTA/L
• Dustin W. Smith, D.O.
• Kaitlyn Cheyenne Smith
• Tyler Smith, NP
• Trina Souders, SLP
• South Tulsa Chiropractic PC
• South Tulsa Physical Therapy Limited Partnership
• South Tulsa Plastic Surgery Center
• Southside Behavioral Health LLC

• Physical Therapist in Jenks, OK
• Providers in Jenks, OK by specialty
• Physical Therapist in Oklahoma

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