Provider Demographics
NPI:1457387102
Name:HJ ENTERPRISES
Entity Type:Organization
Organization Name:HJ ENTERPRISES
Other - Org Name:JONES PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:405-475-7080
Mailing Address - Street 1:3317 E MEMORIAL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-7095
Mailing Address - Country:US
Mailing Address - Phone:405-475-7080
Mailing Address - Fax:405-475-5033
Practice Address - Street 1:3317 E MEMORIAL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-7095
Practice Address - Country:US
Practice Address - Phone:405-475-7080
Practice Address - Fax:405-475-5033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK900522232Medicare ID - Type Unspecified