Individual provider Active NPI

Ryan Brooks, PT., DPT

  • Physical Therapist
  • Weatherford, OK
National Provider Identifier
1093481400
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6064 Issued in OK
Practice address
1400 Lera
Weatherford, OK 73096-2629
Phone
(580) 772-3200
Fax
(580) 772-2106
NPI assigned
Aug 17, 2021
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 6064 OK Primary

Addresses

Primary practice location

1400 Lera
Weatherford, OK 73096-2629

Mailing address

800 NW 6TH St
Oklahoma City, OK 73106-7241
Phone (405) 609-3606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920002729 OK Practitioner - Physical Therapist in Private Practice 8820495732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

3410 S 4TH St
Chickasha, OK 73018-7502
Phone (405) 222-9537

8355 US Hwy 277
Suite 7
Elgin, OK 73538-2207
Phone (580) 492-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6064OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
N Voc #19 CurrentSince Aug 28, 2021 Accepting new patients
Valir Hospice Care, LLC CurrentSince Aug 28, 2021 Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Aug 4, 2021 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients
Southwestern Sports & Industrial Rehab Clinc Inc Physical Therapist PastSince Aug 28, 2021 Accepting new patients

Locations

1511 N Brookwood Dr
Duncan, OK 73533
Phone (580) 252-9159

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

800 NW 6th St
Oklahoma City, OK 73106
Phone (405) 609-3636

1400 Lera
Weatherford, OK 73096
Phone (580) 772-3200

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1093481400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 6TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067241",
            "telephone_number": "405-609-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LERA",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962629",
            "telephone_number": "580-772-3200",
            "fax_number": "580-772-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RYAN",
        "credential": "PT., DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.