Active NPI
Carol Ann Belcher, PHYSICAL THERAPIST
- Physical Therapist
- Broken Arrow, OK
National Provider Identifier
1003021130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 166
- Practice address
- 2950 S Elm PL
#456 Broken Arrow Orthopedics
Broken Arrow, OK 74012-7863 - Phone
- (918) 451-3000
- Fax
- (918) 457-2700
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 166 | OK | Primary |
Addresses
Primary practice location
2950 S Elm PL
#456 Broken Arrow Orthopedics
Broken Arrow, OK 74012-7863
Mailing address
9531 S 86TH E Ave
Tulsa, OK 74133-6414
Phone (918) 294-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broken Arrow Orthopedics Inc | Past | Accepting new patients | |
| Tulsa Bone & Joint Associates PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15136/brand/1/csg/1/fhir/r4
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1245256486
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1154373132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003021130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9531 S 86TH E AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741336414",
"telephone_number": "918-294-0501",
"fax_number": "918-294-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S ELM PL",
"address_2": "#456 BROKEN ARROW ORTHOPEDICS",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127863",
"telephone_number": "918-451-3000",
"fax_number": "918-457-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELCHER",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.