Levi William Cordes, DPT
Individual provider Active NPI Physical Therapist · Purcell, OK
NPI 1073809349 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1073809349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4431 (OK)
- Practice address
- 1907 S Green Ave
Purcell, OK 73080-6203 - Phone
- (405) 527-3524
- Fax
- (405) 527-3536
- NPI assigned
- Jun 24, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110825000182 | OK | Practitioner - Physical Therapist in Private Practice | 2163692336 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4431 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Current |
Accepting new patients |
| Valir Outpatient Clinics LLC | Physical Therapist | Past |
Accepting new patients |
| Valir Outpatient Clinics LLC | Past | Accepting new patients |
Locations
8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112
700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600
700 NW 7th St
Ste 302
Oklahoma City, OK 73102
Phone (405) 609-3670
1907 S Green Ave
Purcell, OK 73080
Phone (405) 527-3524
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4431 | OK | Yes |
Addresses
Primary practice location
1907 S Green Ave
Purcell, OK 73080-6203
Mailing address
700 NW 7TH St
Suite 302
Oklahoma City, OK 73102-1212
Phone (405) 609-3675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200340070A | Medicaid | OK |
Other providers in Purcell, OK
- Clay Crossing for Women LLC
- Anne Coker
- Sarah Coley
- Cindy Anne Collins
- Debra Conley
- Mindi Cornforth
- Shea Cross
- Custom Dental of Purcell, PLLC
- Lynn Davis
- Erica D Dearman
All providers in Purcell, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.