Active NPI
Peggy Decelle Newman, PT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1184821019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1110
- Practice address
- 12413 S Land Ave
Oklahoma City, OK 73170-2031 - Phone
- (405) 691-6452
- NPI assigned
- Jul 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 1110 | OK | Primary |
Addresses
Primary practice location
12413 S Land Ave
Oklahoma City, OK 73170-2031
Mailing address
12413 S Land Ave
Oklahoma City, OK 73170-2031
Phone (405) 691-6452
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110 | OK | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Oklahoma City, OK
- NPI 1386605905
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Shawnee, OK
- NPI 1063774586
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184821019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12413 S LAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731702031",
"telephone_number": "405-691-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12413 S LAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731702031",
"telephone_number": "405-691-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "PEGGY",
"middle_name": "DECELLE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.