Individual provider Active NPI

Bree Anna Labeth, DPT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1164940383
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6112 Issued in OK
Practice address
334 12TH Ave SE Ste 130
Norman, OK 73071-5070
Phone
(405) 310-6590
NPI assigned
Sep 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015091 CO
Physical Therapist 225100000X 6112 OK Primary

Addresses

Primary practice location

334 12TH Ave SE Ste 130
Norman, OK 73071-5070

Mailing address

7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133

Other practice location 1

7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133

Other identifiers 1

IdentifierTypeStateIssuer
PTL.0015091OtherCOCOLORADO STATE PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110000515 OK Practitioner - Physical Therapist in Private Practice 9739455767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy in Motion of Oklahoma LLCGroup PAC ID 6204250590, 28 clinicians

Practice addresses (Care Compare)

334 12TH Ave SE
Norman, OK 73071-5070
Phone (405) 310-6590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015091COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creed Family Physical Therapy Center Physical Therapist Current Accepting new patients
Therapy in Motion of Oklahoma LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2475 Boardwalk
Norman, OK 73069
Phone (405) 447-1991

334 12th Ave SE
Norman, OK 73071
Phone (405) 310-6590

334 12th Ave SE
Ste 130
Norman, OK 73071
Phone (405) 310-6590

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164940383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133",
            "fax_number": "719-495-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 12TH AVE SE STE 130",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715070",
            "telephone_number": "405-310-6590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7622 McLaughlin Rd",
            "address_purpose": "LOCATION",
            "city": "Peyton",
            "state": "CO",
            "postal_code": "808314710",
            "country_code": "US",
            "telephone_number": "719-495-3133",
            "fax_number": "719-495-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABETH",
        "first_name": "BREE",
        "middle_name": "ANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015091",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE PT LICENSE",
            "identifier": "PTL.0015091",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.