Active NPI
Constance Oak, PTA, BS
- Physical Therapy Assistant
- Olathe, CO
National Provider Identifier
1174943955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2012025872
- Practice address
- 750 8TH St
Olathe, CO 81425-1805 - Phone
- (970) 464-7500
- NPI assigned
- Apr 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2012025872 | MO | Primary |
Addresses
Primary practice location
750 8TH St
Olathe, CO 81425-1805
Mailing address
3210 Meadows Pkwy Unit a
Montrose, CO 81401-7693
Phone (417) 224-7579
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012025872 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1174943955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 MEADOWS PKWY UNIT A",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814017693",
"telephone_number": "417-224-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 8TH ST",
"city": "OLATHE",
"state": "CO",
"postal_code": "814251805",
"telephone_number": "970-464-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAK",
"first_name": "CONSTANCE",
"credential": "PTA, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2012025872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, CO
- Jenine A Lemaster, OTR-L
- Megan M Mahoney, MD
- Rhonda Lee McCormick
- Mobilitycares Colorado LLC
- Montrose County School District No. Re-1J (Olathe School Community Health Clinic)
- Olathe Community Clinic Inc (River Valley Family Health Center)
- Olathe Fire Protection District EMS (Olathe Fire Protection District)
- Olathe Medical Clinic LTD (Olathe Medical Clinic)
- Hannah Peters, OTR/L
- Premier Senior Services (Sherry Marie Gobber)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.