Sidonie R Bevier, PT

Key facts

NPI

1003876889

Entity type

Individual (NPI type 1)

Primary specialty

Orthopedic Physical Therapist 2251X0800X

License

2036 (OK)

Practice address

3700 36TH Ave NW
Norman, OK 73072-1803

Phone

(405) 230-9675

Fax

(405) 230-9680

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• McBride Clinic Inc Orthopaedic Surgery Physician · Oklahoma City, OK · NPI 1053319889
  NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2019.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1003876889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-230-9000",
            "fax_number": "405-230-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 36TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721803",
            "telephone_number": "405-230-9675",
            "fax_number": "405-230-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIER",
        "first_name": "SIDONIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2036",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "2036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Norman, OK · Orthopedic Physical Therapist in Oklahoma