Organization Active NPI

JT Health LLC

Doing business as JT Health Clinic

  • Family Medicine Physician
  • Tonkawa, OK
National Provider Identifier
1871259879
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JT HEALTH LLC
Doing business as
JT Health Clinic
Practice address
105 E. Grand
Tonkawa, OK 74653-3503
Phone
(580) 789-1628
Fax
(888) 712-9476
NPI assigned
Nov 13, 2021
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Tammie D Reggio, PANPI 1386619856
Title
Primary Provider
Phone
(580) 789-1628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

105 E. Grand
Tonkawa, OK 74653-3503

Mailing address

1605 Country Rd
Blackwell, OK 74631-6749
Phone (580) 716-0245

Other identifiers 1

IdentifierTypeStateIssuer
187125879OtherOKFACILITY NPI

Other names 1

  • JT Health Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1871259879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COUNTRY RD",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746316749",
            "telephone_number": "580-716-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E. GRAND",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533503",
            "telephone_number": "580-789-1628",
            "fax_number": "888-712-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "REGGIO",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRIMARY PROVIDER",
        "authorized_official_telephone_number": "580-789-1628",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "187125879",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JT Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JT Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonkawa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.