Active NPI
Elham Okhovat, PT
- Physical Therapist
- McKinney, TX
National Provider Identifier
1114105483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1179250
- Practice address
- 1821 N Lake Forest Dr Ste 300
McKinney, TX 75071-7670 - Phone
- (469) 219-3707
- Fax
- (469) 919-0544
- NPI assigned
- Feb 8, 2008
- 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 | 1179250 | TX | Primary |
Addresses
Primary practice location
1821 N Lake Forest Dr Ste 300
McKinney, TX 75071-7670
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1179250 | Other | TX | PT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179250 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1114105483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 N LAKE FOREST DR STE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750717670",
"telephone_number": "469-219-3707",
"fax_number": "469-919-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKHOVAT",
"first_name": "ELHAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-08",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1179250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1179250",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.