Active NPI
Angela Marie Cohen, PT
- Physical Therapist
- Pryor, OK
National Provider Identifier
1154615599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4306
- Practice address
- 1486 S Elliott St
Pryor, OK 74361-8002 - Phone
- (918) 825-2333
- Fax
- (918) 825-6266
- NPI assigned
- Jun 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035598 | NY | |
| Physical Therapist | 225100000X | 4306 | OK | Primary |
Addresses
Primary practice location
1486 S Elliott St
Pryor, OK 74361-8002
Mailing address
4812 E 33Rd St
Tulsa, OK 74135-2038
Phone (918) 622-4126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220318001853 | OK | Practitioner - Physical Therapist in Private Practice | 3274705140 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arch Physical Therapy and Pilates Ctr
Practice addresses (Care Compare)
4154 S Harvard Ave
Tulsa, OK 74135-2622
Phone (918) 619-9991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035598 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Physical Therapy & Pilates Ctr | Physical Therapist | Current | Accepting new patients |
Locations
4154 S Harvard Ave
Ste H2
Tulsa, OK 74135
Phone (918) 619-9991
Organizations & group practices 1
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.
-
- Physical Therapist
- Tulsa, OK
- NPI 1093461311
OK, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1154615599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 E 33RD ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352038",
"telephone_number": "918-622-4126",
"fax_number": "918-270-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1486 S ELLIOTT ST",
"city": "PRYOR",
"state": "OK",
"postal_code": "743618002",
"telephone_number": "918-825-2333",
"fax_number": "918-825-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035598",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.