MRS. JENNIFER MARIE HARMON MPT
Complete NPI Record 1275502783
Physical Therapist in Owasso, OK
NPI Status: Active since March 16, 2006
Contact Information
10229 E 96TH ST N
STE 102
OWASSO, OK
ZIP 74055
Phone: (918) 274-8541
Fax: (918) 274-8560
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Middle Name
- Provider Name Prefix Text
- Provider Credential Text
- Provider Other Last Name
- Provider Other First Name
- Provider Other Middle Name
- Provider Other Name Prefix Text
- Provider Other Last Name Type Code
- Provider First Line Business Mailing Address
- Provider Second Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Second Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
Complete NPI Dataset
This page represents the complete record for NPI 1275502783. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1275502783
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: HARMON
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: JENNIFER
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: MARIE
- The middle name of the provider, if the provider is an individual.
- Provider Name Prefix Text: MRS.
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Credential Text: MPT
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: GLENN
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: JENNIFER
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
- Provider Other Middle Name: MARIE
- Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
- Provider Other Name Prefix Text: MISS
- The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Other Last Name Type Code: 1
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 10229 E 96TH ST N
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Second Line Business Mailing Address: STE 102
- The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
- Provider Business Mailing Address City Name: OWASSO
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OK
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Postal Code: 74055
- The city name in the location address of the provider being identified.
- Provider Business Mailing Address Country Code If outside U S : US
- The State code in the location of the provider being identified.
- Provider Business Mailing Address Telephone Number: 9182748541
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
- Provider Business Mailing Address Fax Number: 9182748560
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
- Provider First Line Business Practice Location Address: 10229 E 96TH ST N
- The telephone number associated with the location address of the provider being identified.
- Provider Second Line Business Practice Location Address: STE 102
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Business Practice Location Address City Name: OWASSO
- The date that a record was last updated or changed.
- Provider Business Practice Location Address State Name: OK
- The code designating the provider’s gender if the provider is a person.
- Provider Business Practice Location Address Postal Code: 74055
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider Business Practice Location Address Country Code If outside U S : US
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider Business Practice Location Address Telephone Number: 9182748541
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider Business Practice Location Address Fax Number: 9182748560
- The fax number associated with the location address of the provider being identified.
- Provider Enumeration Date: 3/16/2006
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 7/8/2007
- The date that a record was last updated or changed.
- Provider Gender Code: F
- The code designating the provider’s gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 225100000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 3807
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider License Number State Code 1: OK
- The date that a record was last updated or changed.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- Is Sole Proprietor: X
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No