JULIANA JOY LACKEY (NPI# 1952927816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952927816 |
Entity Type | Individual |
Full Name | JULIANA JOY LACKEY |
Credential | PT |
Practice Address |
1211 N Shartel Ave Ste 801 Oklahoma City OK 73103-2425 |
Mailing Address |
6701 Nw 128th Ter Oklahoma City OK 73142-6036 |
Practice Telephone | 4054420200 |
Mailing Telephone | 4054102384 |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5831 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1211 N SHARTEL AVE STE 801 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73103-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
Find all providers in zip 73103 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912510843 | Premier Physical Therapy LLC | Physical Therapist | 3333 W Hefner Rd Ste D, Oklahoma City, OK 73120-5060 | 2020-08-29 |
1205491776 | Thrive Physio and Performance, LLC | Physical Therapist | 4201 Ne 116th St, Oklahoma City, OK 73131-4413 | 2019-05-09 |
1265819221 | Kailey N. Limber | Physical Therapist | 3327 Nw 50th, Oklahoma City, OK 73112 | 2015-04-29 |
1730202284 | Carol Pierce Dionne | Physical Therapist | 2809 Sw 119th Street, Oklahoma City, OK 73170 | 2007-04-09 |
1144361130 | John Mark White | Physical Therapist | 6006 Nw 120th Ct, Oklahoma City, OK 73162-1729 | 2007-02-10 |
1821096843 | Douglas E Arnold | Physical Therapist | 6801 N Classen Blvd, Suite B, Oklahoma City, OK 73116-7205 | 2005-07-13 |
1841298981 | Kristine Cox | Physical Therapist | 4901 W Reno Ave, Suite 500, Oklahoma City, OK 73127-6346 | 2005-07-12 |
1093214975 | Kayla Smith | Physical Therapist | 5700 Se 74th St Ste 500, Oklahoma City, OK 73135 | 2018-02-06 |
1639334568 | Shylia Danae Egelston | Physical Therapist | 3705 W Memorial Rd, Suite 310, Oklahoma City, OK 73134-1512 | 2008-07-21 |
1699978726 | Christa Anne Newgent | Physical Therapist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2007-06-06 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73103 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.