Core PT Edmond PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

CORE PT EDMOND PLLC

Practice address

1410 Fretz Dr
Edmond, OK 73003-5872

Phone

(405) 285-8477

Fax

(405) 285-8499

NPI assigned

Oct 28, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maricela Harris

Title

Administrator

Phone

(512) 426-4106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler Emerson Pomeroy, MSPT, OCS, FAAOMPT

  • Physical Therapist
  • Edmond, OK
  • NPI 1225016728
  Medicare reassignment Care Compare group NPD
• Michael Shane Sims, MPT, OCS, FAAOMPT

  • Physical Therapist
  • Edmond, OK
  • NPI 1528046596
  Medicare reassignment Care Compare group NPD
• Brendon Carter, DPT

  • Physical Therapist
  • Newcastle, OK
  • NPI 1154936664
  Medicare reassignment NPD
• Michelle Gottschalk

  • Physical Therapist
  • Edmond, OK
  • NPI 1578671889
  NPD
• Emily Rae Pomeroy, PT, OCS, FAAOMPT

  • Orthopedic Physical Therapist
  • Edmond, OK
  • NPI 1346275740
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1013739333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FRETZ DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035872",
            "telephone_number": "405-285-8477",
            "fax_number": "405-285-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FRETZ DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035872",
            "telephone_number": "405-285-8477",
            "fax_number": "405-285-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PT EDMOND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-426-4106"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Copley
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• John Corbett, LPC
• Christina Baron Corcoran, MS, RD, LD
• Corbin Elizabeth Cordis, NP-C
• Core Transit Inc.
• Cornerstone Behavioral Health and Pediatric Therapies
• Cornerstone Caregiving East LLC
• Parker Cornett, ATC
• Cornwell Clinic

• Orthopedic Physical Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Orthopedic Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.