Individual provider Active NPI

Brooke A Conkin, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1154627784
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4406 Issued in OK
Practice address
200 NW 66TH St
Suite 900
Oklahoma City, OK 73116-8256
Phone
(405) 840-4721
NPI assigned
Jan 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4406 OK Primary

Addresses

Primary practice location

200 NW 66TH St
Suite 900
Oklahoma City, OK 73116-8256

Mailing address

200 NW 66TH St
Suite 900
Oklahoma City, OK 73116-8256
Phone (405) 840-4721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4406OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conkin Pelvic Health LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Feb 1, 2012 Accepting new patients

Locations

1616 E 19th St
Ste 404
Edmond, OK 73013
Phone (405) 474-3467

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1154627784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW 66TH ST",
            "address_2": "SUITE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168256",
            "telephone_number": "405-840-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 66TH ST",
            "address_2": "SUITE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168256",
            "telephone_number": "405-840-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKIN",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-29",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.