Lizbeth Vazquez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2853 Issued in OK

Practice address

1633 S Virginia Ave
Atoka, OK 74525-3901

Phone

(580) 364-7090

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• 40:31 Physical Therapy and Fitness, PLLC

  • Physical Therapist
  • Atoka, OK
  • NPI 1386017051
  NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1144811944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253901",
            "telephone_number": "580-364-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253901",
            "telephone_number": "580-364-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "LIZBETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areli Turner
• Reubin Turner, CM1
• Tushka Public School
• Urgent Care Clinic of Atoka, PC
• Stephanie Vandervort
• Ashley Nichole Viss, SCHOOL PSYCOLOGIST
• Krista Beth Viss
• Heidi Nicole Vorron
• Wal-Mart Stores East LP
• Melissa Walker

• Physical Therapy Assistant in Atoka, OK
• Providers in Atoka, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.