Active NPI
Pamela Guenther, PT
- Pediatric Physical Therapist
- Tulsa, OK
National Provider Identifier
1003995515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3063
- Practice address
- 7112 S Mingo, Suite 108
Tulsa, OK 74133-3267 - Phone
- (918) 250-7093
- Fax
- (918) 250-9976
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3063 | OK | Primary |
Addresses
Primary practice location
7112 S Mingo, Suite 108
Tulsa, OK 74133-3267
Mailing address
11407 S Emerson Ave.
Jenks, OK 74037-2417
Phone (918) 298-3961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201111000651 | OK | Practitioner - Physical Therapist in Private Practice | 8921418526 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3063 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Therapy Solutions, LLC | Current | Accepting new patients | |
| Virtual Service Dog Supports, LLC | Current | Accepting new patients | |
| Therapysource for Kids, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tulsa, OK
- NPI 1467080432
-
- Day Training/Habilitation Specialist
- Tulsa, OK
- NPI 1720786080
-
dba TherapyTown
- Hearing and Speech Clinic/Center
- Tulsa, OK
- NPI 1447395033
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003995515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11407 S EMERSON AVE.",
"city": "JENKS",
"state": "OK",
"postal_code": "740372417",
"telephone_number": "918-298-3961",
"fax_number": "918-770-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7112 S MINGO, SUITE 108",
"city": "TULSA",
"state": "OK",
"postal_code": "741333267",
"telephone_number": "918-250-7093",
"fax_number": "918-250-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUENTHER",
"first_name": "PAMELA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OK",
"license": "3063",
"primary": true
}
],
"identifiers": [],
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.