Active NPI
Genie Alice Strakal, PT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1003964503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 720
- Practice address
- 9175 S Yale Ave
Suite 120
Tulsa, OK 74137-4042 - Phone
- (918) 488-9991
- Fax
- (918) 488-9989
- NPI assigned
- Jan 8, 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 | 720 | OK | Primary |
Addresses
Primary practice location
9175 S Yale Ave
Suite 120
Tulsa, OK 74137-4042
Mailing address
9814 S 88TH East PL
Tulsa, OK 74133-6267
Phone (918) 488-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9611000025 | Other | OK | HAND CERTIFICATION # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003964503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9814 S 88TH EAST PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741336267",
"telephone_number": "918-488-9991",
"fax_number": "918-488-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9175 S YALE AVE",
"address_2": "SUITE 120",
"city": "TULSA",
"state": "OK",
"postal_code": "741374042",
"telephone_number": "918-488-9991",
"fax_number": "918-488-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAKAL",
"first_name": "GENIE",
"middle_name": "ALICE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAND CERTIFICATION #",
"identifier": "9611000025",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, 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.