Elgin Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2454 Issued in OK

Legal business name

ELGIN PHYSICAL THERAPY, PLLC

Practice address

7602 US Highway 277
Elgin, OK 73538

Phone

(580) 678-0447

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracie Lynn Koehler, PT

Title

Owner

Phone

(580) 678-0447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1124271887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 US HIGHWAY 277",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "73538",
            "telephone_number": "580-678-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 US HIGHWAY 277",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "73538",
            "telephone_number": "580-678-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-678-0447",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy A Dudark, LCSW
• Duncan Regional Hospital, Inc (Jefferson County Hospital dba Elgin Family Care)
• Elgin Dental Care PC
• Elgin Discount Pharmacy Inc (Elgin Discount Pharmacy)
• Elgin Pharmacy, LLC
• Elgin Public Schools
• Jacinda Caitlin Estep
• Sarah Euliano
• Vanessa Flores
• Elizabeth Foster

• Physical Therapist in Elgin, OK
• Providers in Elgin, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.