NPIMap

Organization Active NPI

Therawest LLC

Doing business as TheraWest Physical Therapy

  • Physical Therapist
  • Clinton, OK
National Provider Identifier
1114142486
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2536 Issued in OK
Legal business name
THERAWEST LLC
Doing business as
TheraWest Physical Therapy
Practice address
509 S 30TH St
Clinton, OK 73601-3632
Phone
(580) 323-8778
Fax
(866) 490-4693
NPI assigned
Apr 13, 2007
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Lora Ann Ruiz
Title
Billing Specialist
Phone
(580) 275-2194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2536 OK Primary

Addresses

Primary practice location

509 S 30TH St
Clinton, OK 73601-3632

Mailing address

PO Box 86
Clinton, OK 73601-0086
Phone (580) 323-8778

Other practice location 1

108 N 8th St
Weatherford, OK 73096-4856
Phone (580) 772-8778

Other practice location 2

2121 S Yukon Pkwy Ste 200
Yukon, OK 73099-7482
Phone (405) 578-5447

Other practice location 3

12301 N Western Ave Ste 102
Oklahoma City, OK 73114-8017
Phone (405) 442-0144

Other identifiers 2

IdentifierTypeStateIssuer
445844020003OtherOKBCBS OF OKLAHOMA
200068650 AMedicaidOK

Other names 1

  • TheraWest Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Therawest Clinton2 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

1930 W Gary Blvd
Clinton, OK 73601
Phone (580) 323-8778

509 S 30th St
Clinton, OK 73601
Phone (580) 323-8778

2121 S Yukon Pkwy
Ste 200
Yukon, OK 73099
Phone (405) 578-5447

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1114142486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736010086",
            "telephone_number": "580-323-8778",
            "fax_number": "866-490-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013632",
            "telephone_number": "580-323-8778",
            "fax_number": "866-490-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730964856",
            "country_code": "US",
            "telephone_number": "580-772-8778",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S Yukon Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730997482",
            "country_code": "US",
            "telephone_number": "405-578-5447",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12301 N Western Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731148017",
            "country_code": "US",
            "telephone_number": "405-442-0144",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "580-275-2194"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "445844020003",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068650 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraWest Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.