Individual provider Active NPI

Brent Foster, PT

  • Physical Medicine & Rehabilitation Physician
  • Claremore, OK
National Provider Identifier
1033194089
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3812 Issued in OK
Practice address
1500 N Sioux Ave
Claremore, OK 74017-7401
Phone
(918) 923-4700
Fax
(918) 923-4701
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3812 OK
Physical Medicine & Rehabilitation Physician 208100000X 3812 OK Primary

Addresses

Primary practice location

1500 N Sioux Ave
Claremore, OK 74017-7401

Mailing address

1500 N. Sioux Ave.
Suite 109
Claremore, OK 74017
Phone (918) 923-4700

Other identifiers 2

IdentifierTypeStateIssuer
200083390AMedicaidOK
200468590AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000290 OK Practitioner - Physical Therapist in Private Practice 7810911716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Per4Mance Physical Therapy, LLCGroup PAC ID 3375793086, 2 clinicians

Practice addresses (Care Compare)

1500 N Sioux Ave
Claremore, OK 74017-3128
Phone (918) 923-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3812OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Per4Mance Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients

Locations

1500 N Sioux Ave
Ste 109
Claremore, OK 74017

991 W Will Rogers Blvd
Claremore, OK 74017
Phone (918) 283-2992

224 S Brady St
Ste 109
Claremore, OK 74017
Phone (918) 342-6214

1500 N Sioux Ave
Claremore, OK 74017
Phone (918) 923-4700

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1033194089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N. SIOUX AVE.",
            "address_2": "SUITE 109",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-923-4700",
            "fax_number": "918-923-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740177401",
            "telephone_number": "918-923-4700",
            "fax_number": "918-923-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3812",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "3812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200083390A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.