Organization Active NPI

Native Wound Therapy

  • General Practice Physician
  • Muskogee, OK
National Provider Identifier
1104762277
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NATIVE WOUND THERAPY
Practice address
201 S 36TH St
Muskogee, OK 74401-5079
Phone
(918) 600-2701
Fax
(539) 390-3009
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Melissa Rae Thompson
Title
Chief Financial Officer
Phone
(918) 571-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

201 S 36TH St
Muskogee, OK 74401-5079

Mailing address

201 S 36TH St
Muskogee, OK 74401-5079
Phone (918) 600-2701

Other names 1

  • Fast Track Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fast Track Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 S 36th St
Muskogee, OK 74401
Phone (918) 600-2701

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1104762277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015079",
            "telephone_number": "918-600-2701",
            "fax_number": "539-390-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015079",
            "telephone_number": "918-600-2701",
            "fax_number": "539-390-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE WOUND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "918-571-2499"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Track Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.