Individual provider Active NPI

Mike Rindermann, PT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1083606404
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3146 Issued in OK
Practice address
3309 Wauwinet Way
Norman, OK 73071
Phone
(405) 503-8715
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3146 OK Primary

Addresses

Primary practice location

3309 Wauwinet Way
Norman, OK 73071

Mailing address

3309 Wauwinet Way
Norman, OK 73071-7110
Phone (405) 503-8715

Other practice location 1

3309 Wauwinet Way
Norman, OK 73071
Phone (405) 503-8715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000884 OK Practitioner - Physical Therapist in Private Practice 9830114701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 SW 4TH St
Suite 104
Moore, OK 73160-2404
Phone (405) 676-5458

3058 Classen Blvd
Suite 200
Norman, OK 73071-4043
Phone (405) 503-8715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3146OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rindermann P T PLLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Therapy in Motion, PC Past Accepting new patients

Locations

1025 SW 4th St
Ste 104
Moore, OK 73160
Phone (405) 676-5458

3058 Classen Blvd
Ste 200
Norman, OK 73071
Phone (405) 503-8715

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1083606404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 WAUWINET WAY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730717110",
            "telephone_number": "405-503-8715",
            "fax_number": "405-579-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 WAUWINET WAY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-503-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3309 Wauwinet Way",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73071",
            "country_code": "US",
            "telephone_number": "405-503-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINDERMANN",
        "first_name": "MIKE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT3146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.