Active NPI
Bobbette Jean Miller, DPT
- Neurology Physical Therapist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 5560
- Practice address
- 820 NE 15TH St
Oklahoma City, OK 73104-4602 - Phone
- (405) 271-6242
- Fax
- (405) 271-2887
- NPI assigned
- Jan 9, 2008
- Last updated
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0011631 | CO | |
| Neurology Physical Therapist | 2251N0400X | 5560 | OK | Primary |
Addresses
Primary practice location
820 NE 15TH St
Oklahoma City, OK 73104-4602
Mailing address
820 NE 15TH St
Oklahoma City, OK 73104-4602
Phone (405) 271-6242
Other practice location 1
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Other names 1
- Bobbette Jean Hickson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
825 NE 13TH St
Oklahoma City, OK 73104-5005
Phone (405) 271-7410
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 71.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0011631 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Medical Research Foundation | Current | Accepting new patients | |
| Oklahoma Medical Research Foundation | Current | Accepting new patients | |
| North Colorado Spine Center, LLC | Past | Accepting new patients |
Locations
825 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-1500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Oklahoma City, OK
- NPI 1851561625
-
- Immunology Pathology Specialist/Technologist
- Oklahoma City, OK
- NPI 1760583595
-
dba North Colorado Spine & Orthopaedics
- Orthopaedic Surgery Physician
- Greeley, CO
- NPI 1124225800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1063697910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 NE 15TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044602",
"telephone_number": "405-271-6242",
"fax_number": "405-271-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 NE 15TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044602",
"telephone_number": "405-271-6242",
"fax_number": "405-271-2887"
}
],
"practiceLocations": [
{
"address_1": "2500 E Prospect Rd",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805259718",
"country_code": "US",
"telephone_number": "970-493-0112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "BOBBETTE",
"middle_name": "JEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0011631",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "OK",
"license": "5560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBETTE",
"last_name": "HICKSON",
"middle_name": "JEAN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.