Performance Therapy of Oklahoma, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PERFORMANCE THERAPY OF OKLAHOMA, LLC

Practice address

519 NW 23Rd St Ste 106
Oklahoma City, OK 73103

Phone

(405) 694-9132

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Kyle Griffith

Title

Owner

Phone

(405) 694-9132

Specialties & licenses 1

Addresses

Other names 1

• Motus Performance Therapy Doing business as

Locations

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1053831727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 VAIL DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 NW 23RD ST STE 106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73103",
            "telephone_number": "405-694-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPY OF OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-694-9132"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motus Performance Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Motus Performance Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Perigon Alzheimers LLC

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.