Individual provider Active NPI

Jessica Haskins

  • Physical Therapy Assistant
  • Yukon, OK
National Provider Identifier
1841880408
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1785 Issued in OK
Practice address
13041 SW 5TH Ter
Yukon, OK 73099-0507
Phone
(405) 933-4922
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1785 OK Primary

Addresses

Primary practice location

13041 SW 5TH Ter
Yukon, OK 73099-0507

Mailing address

13041 SW 5TH Ter
Yukon, OK 73099-0507
Phone (405) 933-4922

Other practice location 1

1824 Commons Cir Ste B
Yukon, OK 73099-9538
Phone (405) 324-0961

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://central.ptpracticepro.com/Theraplay/login.aspx?ReturnUrl=%2fTheraplay%2flogin

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehab, LLC PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1841880408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 SW 5TH TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990507",
            "telephone_number": "405-933-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 SW 5TH TER",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990507",
            "telephone_number": "405-933-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Commons Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999538",
            "country_code": "US",
            "telephone_number": "405-324-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://central.ptpracticepro.com/Theraplay/login.aspx?ReturnUrl=%2fTheraplay%2flogin",
            "affiliation": "N",
            "address_1": "1824 Commons Cir Ste B",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730999538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.