Individual provider Active NPI

Amanda Beth Coble, MPT

  • Orthopedic Physical Therapist
  • Norman, OK
National Provider Identifier
1104147966
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
909 Wall St
Norman, OK 73069-6342
Phone
(405) 579-1600
Fax
(405) 573-6768
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

909 Wall St
Norman, OK 73069-6342

Mailing address

909 Wall St
Norman, OK 73069-6342
Phone (405) 579-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000056 OK Practitioner - Physical Therapist in Private Practice 7719158799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PTMS 3.0 LLCGroup PAC ID 2365768231, 115 clinicians

Practice addresses (Care Compare)

1405 S Western Rd
Stillwater, OK 74074-6957
Phone (405) 227-9886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC CurrentSince Sep 18, 2024 Accepting new patients
PTMS 3.0, LLC CurrentSince Sep 18, 2024 Accepting new patients
PTMS 3.0, LLC Orthopedic Current Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Orthopedic CurrentSince Oct 9, 2023 Accepting new patients
PTMS 3.0, LLC Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

706 S 1st St
Blackwell, OK 74631
Phone (580) 363-1111

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

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

2211 N 14th St
Ponca City, OK 74601
Phone (580) 765-0101

1405 S Western Rd
Stillwater, OK 74074
Phone (405) 227-9886

904 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-0101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1104147966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696342",
            "telephone_number": "405-579-1600",
            "fax_number": "405-573-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696342",
            "telephone_number": "405-579-1600",
            "fax_number": "405-573-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "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 Jun 16, 2010; 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.