Darce Danae Wilde, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1888 Issued in OK

Practice address

1300 S Country Club Rd
El Reno, OK 73036-5304

Phone

(405) 422-1291

Fax

(405) 422-1294

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Darce Danae Courtney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1194038893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365304",
            "telephone_number": "405-422-1291",
            "fax_number": "405-422-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365304",
            "telephone_number": "405-422-1291",
            "fax_number": "405-422-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "DARCE",
        "middle_name": "DANAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCE",
            "last_name": "COURTNEY",
            "middle_name": "DANAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daisy Whitebuffalo
• Brett Whitehead, PHARM D
• Jamie Kaye Whitton
• Emily Grace Wiedemann
• Dave Michael Wilcox, PA-C
• William Kwabena Tordzro MD PLLC
• Carrie Williams
• Tiffany Nicole Williams, FSP
• Michelle N Wilson
• Tara Marie Wilson

• Physical Therapy Assistant in El Reno, OK
• Providers in El Reno, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.