Jap Clinic Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JAP CLINIC INC

Practice address

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

Phone

(214) 718-9593

Fax

(817) 260-0891

NPI assigned

Jul 10, 2020

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 FombonNPI 1033754890

Title

Ceo

Phone

(214) 718-9593

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Augustine Nubea Fombon

  • Physical Therapy Clinic/Center
  • Grand Prairie, TX
  • NPI 1033754890
  NPD Authorized official

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1851919369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 WESTOVER DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528560",
            "telephone_number": "214-718-9593",
            "fax_number": "817-260-0891"
        },
        {
            "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": "214-718-9593",
            "fax_number": "817-260-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAP CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "FOMBON",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "NUBEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-718-9593",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "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": []
}

• Karaya James, LCSW
• Nadine James
• Amanda Brook Jameson, PT DPT
• Janet Nash
• Sireesha Janga, MD
• Jap Physical Therapy
• Jas Health Services
• Ehsan Javidan-Nejad, DDS
• JDM Healthcare Services LLC
• Shelline Jeanty, LMSW

• 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 Jul 10, 2020; 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.