Active NPI
Muv Okc, LLC
- Sports Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1073189635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- Legal business name
- MUV OKC, LLC
- Practice address
- 1501 N Broadway Ave
Oklahoma City, OK 73103-4609 - Phone
- (405) 633-0193
- NPI assigned
- Jun 3, 2021
- Last updated
- Apr 30, 2024
- 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
- Dr. Kyle Womack, PT, DPT
- Title
- Owner
- Phone
- (405) 633-0193
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | Primary |
Addresses
Primary practice location
1501 N Broadway Ave
Oklahoma City, OK 73103-4609
Mailing address
1213 SW 18TH St
Oklahoma City, OK 73108-7217
Phone (405) 633-0193
National Provider Directory
National Provider DirectoryLocations
1501 N Broadway Ave
Oklahoma City, OK 73103
Phone (405) 633-0193
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1073189635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 SW 18TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731087217",
"telephone_number": "405-633-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N BROADWAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731034609",
"telephone_number": "405-633-0193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUV OKC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2024-04-30",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "WOMACK",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-633-0193",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.