Individual provider Active NPI

John Bauer Crank, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1013397280
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4952 Issued in OK
Practice address
200 N Main
Suite C
Tulsa, OK 74063
Phone
(918) 245-0111
Fax
(918) 245-3555
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4952 OK Primary

Addresses

Primary practice location

200 N Main
Suite C
Tulsa, OK 74063

Mailing address

4812 E 33Rd St
Tulsa, OK 74135-2038
Phone (918) 622-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721000227 OK Practitioner - Physical Therapist in Private Practice 8426361437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redbud Physical Therapy LLC 32 clinicians

Practice addresses (Care Compare)

1118 S Main St
Grove, OK 74344-2800
Phone (918) 786-9883

200 N Main St
Suite C
Sand Springs, OK 74063-7638
Phone (918) 245-0111

209 E Rogers Blvd
Skiatook, OK 74070-1251
Phone (918) 396-9799

4008 S Yale Ave
Tulsa, OK 74135-6017
Phone (918) 622-4278

707 W Main St
Collinsville, OK 74021-3226
Phone (918) 371-2800

817 W Cherokee St
Wagoner, OK 74467-4616
Phone (918) 485-3100

825 E Kenosha St
Broken Arrow, OK 74012-2044
Phone (918) 252-0513

Merit-based Incentive Payment System (MIPS)

Final score
81.9 of 100Reported as individual
Quality
78.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redbud Physical Therapy LLC CurrentSince Oct 12, 2016 Accepting new patients
Redbud Physical Therapy LLC Physical Therapist CurrentSince Oct 12, 2016 Accepting new patients

Locations

825 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 252-0513

707 W Main St
Collinsville, OK 74021
Phone (918) 371-2800

12641 S State Highway 51
Coweta, OK 74429
Phone (918) 486-1338

500 E 141st St
Glenpool, OK 74033
Phone (918) 322-3884

1118 S Main St
Grove, OK 74344
Phone (918) 786-9883

12326 E 86th St N
Owasso, OK 74055
Phone (918) 272-1923

1486 S Elliott St
Pryor, OK 74361
Phone (918) 825-2333

200 N Main St
Ste C
Sand Springs, OK 74063
Phone (918) 227-7888

209 E Rogers Blvd
Skiatook, OK 74070
Phone (918) 396-9799

4812 E 33rd St
Tulsa, OK 74135
Phone (918) 622-4126

4526 S Peoria Ave
Tulsa, OK 74105
Phone (918) 794-9000

4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126

817 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-3100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1013397280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352038",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74063",
            "telephone_number": "918-245-0111",
            "fax_number": "918-245-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANK",
        "first_name": "JOHN",
        "middle_name": "BAUER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4952",
            "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 Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.