Lynzie Wilson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6350 Issued in OK

Practice address

1023 E Cherry St
Cushing, OK 74023-4105

Phone

(918) 225-8388

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135

  OK

  Medicare reassignment NPD
• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Perry, OK
  • NPI 1407729361
  NPD
• Stillwater Medical Center Physicians

  • Anesthesiology Physician
  • Stillwater, OK
  • NPI 1295859387
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

University of Oklahoma College of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Lynzie Nuttle Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2024.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1184486136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WOODLAND WAY",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740305810",
            "telephone_number": "918-225-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 E CHERRY ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234105",
            "telephone_number": "918-225-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LYNZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNZIE",
            "last_name": "NUTTLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carly Dion Waren, ARNP
• Jeanette Renee Warren, LPN
• Tammy Anne Warrior, L.P.N.
• Amy Nichole West, PHARMD
• Leslie W White, OD
• World Wide Anesthesia Alliance
• Cassidy Young, LPC-CANDIDATE
• Colin Archibald Young, DMD
• Deborah Denise Young, MA.CCC/SLP
• Jessica Fielding Zwanziger, O.D.

• All providers in Cushing, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.