Pro Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3454 Issued in OK

Legal business name

PRO THERAPY SERVICES LLC

Practice address

3705 NW 63Rd St
Suite 208
Oklahoma City, OK 73116-1935

Phone

(405) 608-4308

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Robert Eugene Chaffee II, PT

Title

Physical Therapist

Phone

(405) 608-4308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1063707875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST",
            "address_2": "SUITE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161935",
            "telephone_number": "405-608-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST",
            "address_2": "SUITE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161935",
            "telephone_number": "405-608-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "CHAFFEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-608-4308",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.