Montie Belle Oballa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5262 Issued in OK

Practice address

1507 Brookwood Ave
Duncan, OK 73533-1356

Phone

(580) 252-9159

Fax

(580) 252-2158

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H2 Health Oklahoma Outpatient Clinics LLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1982683306

  OK, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Oklahoma Luna Care Physical Therapy LLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1306572508

  OK, Physical Therapist

  Medicare reassignment NPD
• Valir Outpatient Clinics LLC

  • Physical Therapist
  • Shawnee, OK
  • NPI 1245765536
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Health Oklahoma Outpatient Clinics LLC 44 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124453980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BROOKWOOD AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331356",
            "telephone_number": "580-252-9159",
            "fax_number": "580-252-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 N Highway 77",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751651885",
            "country_code": "US",
            "telephone_number": "972-938-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBALLA",
        "first_name": "MONTIE",
        "middle_name": "BELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1234031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmon Wade Newell
• Brian L Nguyen, DMD
• Jed Dinh Nguyen, MS, APRN, NP-C
• Cynthia Ann Norman, M.D.
• TJ Nugent, D.D.S
• Okc Dental Health Associates, P.C.
• Oklahoma CVS Pharmacy, L.L.C.
• Oklahoma Mobile Xray Inc
• Optometry Clinic,Inc.
• Oscar Morales MD PC

• All providers in Duncan, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.