Jenmark, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2675 Issued in OK

Legal business name

JENMARK, LLC

Practice address

1011 N Broadway St
Suite 6
Tecumseh, OK 74873-1431

Phone

(405) 598-2899

Fax

(405) 598-2833

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Rae McClure, P.T.

Title

Physical Therapist

Phone

(405) 598-2899

Specialties & licenses 1

Addresses

Other names 1

• Tecumseh Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912968280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N BROADWAY ST",
            "address_2": "SUITE 6",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748731431",
            "telephone_number": "405-598-2899",
            "fax_number": "405-598-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N BROADWAY ST",
            "address_2": "SUITE 6",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748731431",
            "telephone_number": "405-598-2899",
            "fax_number": "405-598-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENMARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-598-2899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tecumseh Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Charisse Hernandez
• Lonnie Tyler Hurst, B.S.MICROBIOLOGY
• Immediate Care of Oklahoma, LLC
• Linsy Rebecca Ingmire, M. ED
• Kameron R Jackson
• April Miranda Jones
• Kyle Karnish, O.D.
• Casey Patrick Kearns
• Jacob Eric Kinnett
• Stephen Jacob Levine, M.D.

• All providers in Tecumseh, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.