NPIMap

Organization Active NPI

Valir Outpatient Clinic #12 LLC

  • Physical Therapist
  • Purcell, OK
National Provider Identifier
1063947414
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VALIR OUTPATIENT CLINIC #12 LLC
Practice address
1907 S Green Ave
Purcell, OK 73080-6203
Phone
(405) 527-3524
Fax
(405) 527-3536
NPI assigned
Apr 24, 2017
Last updated
Mar 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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

Authorized official

Name
Savanah Patt
Title
VP
Phone
(405) 609-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1907 S Green Ave
Purcell, OK 73080-6203

Mailing address

700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-3600

Other identifiers 1

IdentifierTypeStateIssuer
200051680NMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Valir Outpatient Clinics LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584835200000",
    "number": "1063947414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S GREEN AVE",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730806203",
            "telephone_number": "405-527-3524",
            "fax_number": "405-527-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIR OUTPATIENT CLINIC #12 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "SAVANAH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "405-609-3600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051680N",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.