Active NPI
Kourtney Mychell Fox, PT, DPT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1104414820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5899
- Practice address
- 14901 N Pennsylvania Ave
Oklahoma City, OK 73134-6069 - Phone
- (405) 225-0748
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5899 | OK | Primary |
Addresses
Primary practice location
14901 N Pennsylvania Ave
Oklahoma City, OK 73134-6069
Mailing address
101 NE 53Rd St Apt 3109
Oklahoma City, OK 73105-1886
Phone (559) 250-8173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5899 | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1104414820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NE 53RD ST APT 3109",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731051886",
"telephone_number": "559-250-8173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 N PENNSYLVANIA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346069",
"telephone_number": "405-225-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "KOURTNEY",
"middle_name": "MYCHELL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.