Individual provider Active NPI

Pamela Guenther, PT

  • Pediatric Physical Therapist
  • Tulsa, OK
National Provider Identifier
1003995515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3063 Issued in OK
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20201111000651 OK Practitioner - Physical Therapist in Private Practice 8921418526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3063OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Therapy Solutions, LLC CurrentSince Jul 18, 2020 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.

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.

Verify at the official NPI Registry.