Individual provider Active NPI

Brandon Cox, MSPT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1033513189
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4613 Issued in AL
Practice address
2475 Boardwalk
Norman, OK 73069-6332
Phone
(405) 447-1991
Fax
(405) 447-1198
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 PTH4613 AL Primary

Addresses

Primary practice location

2475 Boardwalk
Norman, OK 73069-6332

Mailing address

2475 Boardwalk
Norman, OK 73069-6332
Phone (405) 447-1991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331001769 OK Practitioner - Physical Therapist in Private Practice 6002133022 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
Regional Physical Therapy IncGroup PAC ID 3678533387, 3 clinicians

Practice addresses (Care Compare)

9309 E Reno Ave
Midwest City, OK 73130-3321
Phone (405) 732-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4923OKMDEndodontist
PTH4613ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physical Therapy Inc Physical Therapist CurrentSince Jan 8, 2018 Accepting new patients

Locations

9309 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-3353

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1033513189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696332",
            "telephone_number": "405-447-1991",
            "fax_number": "405-447-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696332",
            "telephone_number": "405-447-1991",
            "fax_number": "405-447-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "BRANDON",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.