Individual provider Active NPI

Andrew Christian Hurst, DPT

  • Physical Therapist
  • Skiatook, OK
National Provider Identifier
1093064982
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4634 Issued in OK
Practice address
1355 W Rogers Blvd
Suite 10
Skiatook, OK 74070-4204
Phone
(918) 396-7125
Fax
(918) 396-7186
NPI assigned
Sep 6, 2012
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 4634 OK Primary

Addresses

Primary practice location

1355 W Rogers Blvd
Suite 10
Skiatook, OK 74070-4204

Mailing address

2416 Highway 45 N
Suite 10
Columbus, MS 39705-1320
Phone (662) 327-6705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000263 OK Practitioner - Physical Therapist in Private Practice 9335397421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

434 S Cherokee St
Catoosa, OK 74015-2710
Phone (918) 266-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Feb 15, 2016 Accepting new patients
Harvard Family Physicians P C CurrentSince Jan 9, 2013 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Feb 15, 2016 Accepting new patients
National Family Medical Associates, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2560 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 994-7864

434 S Cherokee St
Catoosa, OK 74015
Phone (918) 266-6200

1355 W Rogers Blvd
Ste 10
Skiatook, OK 74070
Phone (918) 396-7125

7912 E 31st Ct
Ste 300
Tulsa, OK 74145
Phone (918) 743-8200

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1093064982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 HIGHWAY 45 N",
            "address_2": "SUITE 10",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051320",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W ROGERS BLVD",
            "address_2": "SUITE 10",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740704204",
            "telephone_number": "918-396-7125",
            "fax_number": "918-396-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "ANDREW",
        "middle_name": "CHRISTIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skiatook, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.