Organization Active NPI

Okc Physical Therapy South

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1164537262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
#PT1200 Issued in OK
Legal business name
OKC PHYSICAL THERAPY SOUTH
Practice address
9913 S Pennsylvania Ave
Oklahoma City, OK 73159-6920
Phone
(405) 691-3200
Fax
(405) 691-3204
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debora Ann Horsch, P.T., O.C.SNPI 1396960688
Title
President
Phone
(405) 691-3200

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 Therapy Clinic/Center 261QP2000X #PT1200 OK Primary

Addresses

Primary practice location

9913 S Pennsylvania Ave
Oklahoma City, OK 73159-6920

Mailing address

9913 S Pennsylvania Ave
Oklahoma City, OK 73159-6920
Phone (405) 691-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407001348 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638162274 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

9913 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 691-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164537262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596920",
            "telephone_number": "405-691-3200",
            "fax_number": "405-691-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9913 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596920",
            "telephone_number": "405-691-3200",
            "fax_number": "405-691-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC PHYSICAL THERAPY SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORSCH",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-691-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T., O.C.S"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "#PT1200",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.