Michael Macgyver Norris, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5678 Issued in OK

Practice address

3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323

Phone

(918) 280-0180

Fax

(918) 270-0170

NPI assigned

May 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Oklahoma College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mattyg LLCGroup PAC ID 8729370978, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mattyg LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1750735734
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1083271043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-280-0180",
            "fax_number": "918-270-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-280-0180",
            "fax_number": "918-270-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "MICHAEL",
        "middle_name": "MACGYVER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Rhys Norris, CNIM, PA-C
• Brent Lane Norris, M.D.
• Darla Norris, APRN
• Kellie Jean Norris
• Lainee Norris, M.S., CCC-SLP
• Patrick George Norris, M.D.
• Shyla Kayann Norris
• Michelle Nicole Norsby, AA
• Norsekal LLC
• North Texas Neuroprotekt, PA

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.