Active NPI
Excel Therapy Specialists
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1053600486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EXCEL THERAPY SPECIALISTS
- Practice address
- 5110 S Yale
Suite 304
Tulsa, OK 74135 - Phone
- (918) 259-9522
- Fax
- (918) 259-9521
- NPI assigned
- Apr 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Wagoner
- Title
- Managed Care
- Phone
- (918) 259-9522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5110 S Yale
Suite 304
Tulsa, OK 74135
Mailing address
2232 W Houston St
Broken Arrow, OK 74012-3529
Phone (918) 259-9522
National Provider Directory
National Provider Directory- Tax ID family
- Excel Therapy Specialists L
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Tahlequah, OK
- NPI 1336438761
-
- Physical Therapist
- Tulsa, OK
- NPI 1033277413
-
- Physical Therapist
- Sand Springs, OK
- NPI 1205153483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1053600486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 W HOUSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740123529",
"telephone_number": "918-259-9522",
"fax_number": "918-259-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 S YALE",
"address_2": "SUITE 304",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-259-9522",
"fax_number": "918-259-9521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL THERAPY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "WAGONER",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "MANAGED CARE",
"authorized_official_telephone_number": "918-259-9522"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.