Preferred Physical Therapy Broken Arrow, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3524 Issued in OK

Legal business name

PREFERRED PHYSICAL THERAPY BROKEN ARROW, PLLC

Practice address

2033 W Houston St
Ste. a
Broken Arrow, OK 74012-8304

Phone

(918) 259-0374

Fax

(918) 259-0376

NPI assigned

Aug 1, 2008

Organization subpart

No

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

Authorized official

Name

David C Todd, PHYSICAL THERAPISTNPI 1992730204

Title

PT/Owner

Phone

(316) 260-6869

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Charles Todd, MPT

  • Physical Therapist
  • Wichita, KS
  • NPI 1992730204
  NPD (past) Authorized official
• Michael G Griffith

  • Physical Therapist
  • Broken Arrow, OK
  • NPI 1174719264
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1003072729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE. 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON ST",
            "address_2": "STE. A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128304",
            "telephone_number": "918-259-0374",
            "fax_number": "918-259-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PHYSICAL THERAPY BROKEN ARROW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "316-260-6869",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200208130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Powell
• Kipley Powell, DDS
• James Alan Prather Jr., MS
• Satrina Pratt
• Precision Optical of Okla Inc
• Premier Family Care PC
• Premier Pain Associates Inc.
• Premise Health of Oklahoma Medical, P.C
• Nikolaus Prescott, PT, DPT
• Rebekah Joy Presley, FNP-C

• Physical Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.