Individual provider Active NPI

Jeremy Brooks Lemon, DPT

  • Physical Therapist
  • Elk City, OK
National Provider Identifier
1861659955
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4134 Issued in OK
Practice address
717 W 3Rd St
Elk City, OK 73644-5207
Phone
(580) 225-0848
Fax
(580) 225-0873
NPI assigned
May 17, 2008
Last updated
Apr 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4134 OK Primary
Physical Therapist 225100000X 23033 FL

Addresses

Primary practice location

717 W 3Rd St
Elk City, OK 73644-5207

Mailing address

825 N Broadway Ave
Suite 400
Oklahoma City, OK 73102-6039
Phone (405) 609-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308000508 TX Practitioner - Physical Therapist in Private Practice 6608908355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

4205 W Northwest Hwy
Parsons House Preston Hollow
Dallas, TX 75220-7802
Phone (469) 489-1536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23033FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients
Concepts in Rehab Inc PastSince Oct 23, 2018 Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1501 W Campbell Rd
Garland, TX 75044
Phone (469) 609-9153

2300 Pool Rd
#G
Grapevine, TX 76051
Phone (833) 655-2840

4701 Ratcliffe Dr
Kyle, TX 78640
Phone (512) 920-4600

2760 W Walker St
League City, TX 77573
Phone (281) 967-7973

2022 Highway 46 W
New Braunfels, TX 78132
Phone (830) 743-9324

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1861659955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N BROADWAY AVE",
            "address_2": "SUITE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026039",
            "telephone_number": "405-609-3675",
            "fax_number": "800-506-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445207",
            "telephone_number": "580-225-0848",
            "fax_number": "580-225-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMON",
        "first_name": "JEREMY",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4134",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.