Organization Active NPI

Choice Physical Therapy

  • Physical Therapist
  • Woodward, OK
National Provider Identifier
1184481988
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHOICE PHYSICAL THERAPY
Practice address
4900 Oklahoma Ave Ste 200
Woodward, OK 73801-3719
Phone
(405) 229-7840
NPI assigned
Feb 28, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Ryan Timothy Clem, MPTNPI 1730374737
Title
Managing Owner/Therapist
Phone
(405) 229-7840

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

4900 Oklahoma Ave Ste 200
Woodward, OK 73801-3719

Mailing address

402 N Elm St
Mooreland, OK 73852-9316
Phone (405) 229-7840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603003993 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183166390 Receives reassigned benefits from 4 practitioners
Practice locations: Woodward, OK

National Provider Directory

National Provider Directory

Locations

4900 Oklahoma Ave
Ste 200
Woodward, OK 73801
Phone (405) 229-7840

Practitioners & affiliated clinicians

Practitioners 4

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": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1184481988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N ELM ST",
            "city": "MOORELAND",
            "state": "OK",
            "postal_code": "738529316",
            "telephone_number": "405-229-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE STE 200",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013719",
            "telephone_number": "405-229-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CLEM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGING OWNER/THERAPIST",
        "authorized_official_telephone_number": "405-229-7840",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.