Active NPI
Journeys Physical Therapy, PLLC
- Physical Therapist
- Grove, OK
National Provider Identifier
1063715530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3886
- Legal business name
- JOURNEYS PHYSICAL THERAPY, PLLC
- Practice address
- 1200 S Shundi
Grove, OK 74344-1014 - Phone
- (918) 353-2309
- Fax
- (918) 787-7889
- NPI assigned
- Dec 6, 2010
- 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
- Shannon Ratermann, PT, DPT
- Title
- Physical Therapist/ Owner
- Phone
- (918) 353-2309
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3886 | OK | Primary |
Addresses
Primary practice location
1200 S Shundi
Grove, OK 74344-1014
Mailing address
PO Box 450517
Grove, OK 74345-0517
Phone (918) 353-2309
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Grove, OK
- NPI 1356437438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1063715530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450517",
"city": "GROVE",
"state": "OK",
"postal_code": "743450517",
"telephone_number": "918-353-2309",
"fax_number": "918-787-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S SHUNDI",
"city": "GROVE",
"state": "OK",
"postal_code": "743441014",
"telephone_number": "918-353-2309",
"fax_number": "918-787-7889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEYS PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "RATERMANN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
"authorized_official_telephone_number": "918-353-2309",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OK",
"license": "3886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.