NPIMap

Organization Active NPI

Strides Pediatric Therapy

  • Physical Therapist
  • Owasso, OK
National Provider Identifier
1164061123
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STRIDES PEDIATRIC THERAPY
Practice address
7738 N Owasso Expy
Owasso, OK 74055
Phone
(918) 928-4255
Fax
(918) 928-4258
NPI assigned
Dec 22, 2019
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Mr. Wade Kennedy Willis, MPTNPI 1174601363
Title
Owner
Phone
(918) 928-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7738 N Owasso Expy
Owasso, OK 74055

Mailing address

7738 N Owasso Expwy
Owasso, OK 74055
Phone (918) 928-4255

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WebsiteURLoftheHIH Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

7738 N Owasso Expy
Owasso, OK 74055
Phone (918) 928-4255

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1164061123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7738 N OWASSO EXPWY",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-928-4255",
            "fax_number": "918-928-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7738 N OWASSO EXPY",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-928-4255",
            "fax_number": "918-928-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDES PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-928-4255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebsiteURLoftheHIH",
            "affiliation": "N",
            "endpointDescription": "HIH OID",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7738 N Owasso Expy",
            "city": "Owasso",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740553338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.