Tracy L. Standridge, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2448 Issued in OK

Practice address

12707 East 86TH Street North
Owasso, OK 74055

Phone

(918) 272-7432

Fax

(918) 272-7448

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Standridge Clinic Inc

  • Rehabilitation Chiropractor
  • Owasso, OK
  • NPI 1033271655
  Medicare reassignment NPD Authorized official
• Structural Rehab

  • Physical Medicine & Rehabilitation Physician
  • Owasso, OK
  • NPI 1891860615
  NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1184798050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 EAST 86TH STREET NORTH",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-272-7432",
            "fax_number": "918-272-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 EAST 86TH STREET NORTH",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-272-7432",
            "fax_number": "918-272-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDRIDGE",
        "first_name": "TRACY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Spurlock, DPH
• SRH Counseling LLC
• St. John Encompass Health Rehabilitation Hospital, LLC
• John Stahl
• Standridge Clinic Inc
• Audrey Melissa Stanton, D.O.
• David Taylor Stapleton, DDS
• Amber Stark
• Laura Staufenberg
• Samantha Stearns, OTR/L

• Rehabilitation Chiropractor in Owasso, OK
• Providers in Owasso, OK by specialty
• Rehabilitation Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.