Organization Active NPI

Native Wound Therapy

  • Medical Specialty Clinic/Center
  • Muskogee, OK
National Provider Identifier
1184335945
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NATIVE WOUND THERAPY
Practice address
201 S 36TH St
Muskogee, OK 74401-5079
Phone
(918) 600-2701
Fax
(539) 390-3009
NPI assigned
Dec 12, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Joshua W Forrest
Title
Ceo
Phone
(918) 805-4885

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

201 S 36TH St
Muskogee, OK 74401-5079

Mailing address

201 S 36TH St
Muskogee, OK 74401-5079
Phone (918) 600-2701

Other practice location 1

345 High St NE Ste D
Warren, OH 44481-1248
Phone (918) 600-2701

Other identifiers 1

IdentifierTypeStateIssuer
201275340AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515003841 OK Part B Supplier - Clinic/Group Practice 5597106922 Receives reassigned benefits from 1 practitioner
Practice locations: Muskogee, OK

National Provider Directory

National Provider Directory

Locations

345 High St NE
Ste D
Warren, OH 44481
Phone (918) 600-2701

7690 E 126th St S
Ste D
Bixby, OK 74008
Phone (918) 600-2701

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1184335945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015079",
            "telephone_number": "918-600-2701",
            "fax_number": "539-390-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015079",
            "telephone_number": "918-600-2701",
            "fax_number": "539-390-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 High St NE Ste D",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444811248",
            "country_code": "US",
            "telephone_number": "918-600-2701",
            "fax_number": "539-390-3009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIVE WOUND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-805-4885"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201275340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.