Organization Active NPI

Beyond PT South PLLC

Doing business as Beyond Physical Therapy

  • Physical Therapy Clinic/Center
  • Tulsa, OK
National Provider Identifier
1053069591
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEYOND PT SOUTH PLLC
Doing business as
Beyond Physical Therapy
Practice address
10106 S Sheridan Rd Ste C
Tulsa, OK 74133-6731
Phone
(918) 695-1485
Fax
(918) 280-0170
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Leslie Erin Howerton, PT, DPTNPI 1730601410
Title
Owner/Manager
Phone
(918) 995-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10106 S Sheridan Rd Ste C
Tulsa, OK 74133-6731

Mailing address

10106 S Sheridan Rd Ste C
Tulsa, OK 74133-6776
Phone (918) 995-2500

Other names 1

  • Beyond Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221013003609 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678955325 Receives reassigned benefits from 3 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

10106 S Sheridan Rd
Ste C
Tulsa, OK 74133
Phone (918) 995-2500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1053069591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 S SHERIDAN RD STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336776",
            "telephone_number": "918-995-2500",
            "fax_number": "918-995-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 S SHERIDAN RD STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336731",
            "telephone_number": "918-695-1485",
            "fax_number": "918-280-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PT SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "918-995-2500",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.