Active NPI
Emily Michelle Worsham, PT, DPT
- Physical Therapist
- Yukon, OK
National Provider Identifier
1013473313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5518
- Practice address
- 1824 Commons Cir Ste B
Yukon, OK 73099-9538 - Phone
- (405) 467-6782
- Fax
- (405) 467-6100
- NPI assigned
- Feb 12, 2019
- 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 | 5518 | OK | Primary |
Addresses
Primary practice location
1824 Commons Cir Ste B
Yukon, OK 73099-9538
Mailing address
2820 Fennel Rd
Oklahoma City, OK 73128-1037
Phone (580) 759-6612
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1824 Commons Cir
Ste B
Yukon, OK 73099
Phone (405) 324-0961
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1013473313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 FENNEL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731281037",
"telephone_number": "580-759-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 COMMONS CIR STE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730999538",
"telephone_number": "405-467-6782",
"fax_number": "405-467-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSHAM",
"first_name": "EMILY",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2023-10-16",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.