Active NPI
Derek Alan Spriggs
- Physical Therapy Assistant
- Oklahoma City, OK
National Provider Identifier
1023617172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2056
- Practice address
- 14901 N Pennsylvania Ave
Oklahoma City, OK 73134-6069 - Phone
- (405) 752-1200
- NPI assigned
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2056 | OK | Primary |
Addresses
Primary practice location
14901 N Pennsylvania Ave
Oklahoma City, OK 73134-6069
Mailing address
Select Rehabilitation 2600 Compass Rd
Glenview, IL 60026
Phone (877) 787-3422
Other practice location 1
14901 N Pennsylvania Ave
Oklahoma City, OK 73134-6069
Phone (405) 752-1200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2056 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1023617172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SELECT REHABILITATION 2600 COMPASS RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60026",
"telephone_number": "877-787-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 N PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346069",
"telephone_number": "405-752-1200"
}
],
"practiceLocations": [
{
"address_1": "14901 N Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731346069",
"country_code": "US",
"telephone_number": "405-752-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRIGGS",
"first_name": "DEREK",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "2056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.