Individual provider Active NPI

Christina Ann Parisotto, PTA

  • Physical Therapy Assistant
  • Muskogee, OK
National Provider Identifier
1194317263
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TA506 Issued in OK
Practice address
1111 N 36TH St
Muskogee, OK 74401-1809
Phone
(191) 868-3462
Fax
(918) 683-4002
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TA506 OK Primary

Addresses

Primary practice location

1111 N 36TH St
Muskogee, OK 74401-1809

Mailing address

PO Box 2643
Muskogee, OK 74402-2643
Phone (918) 683-4621

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TA506OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly B. Todd Cerebral Palsy & Neuromuscular Foundation, Inc CurrentSince Feb 14, 2021 Accepting new patients

Locations

1111 N 36th St
Muskogee, OK 74401
Phone (918) 683-4621

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1194317263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2643",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744022643",
            "telephone_number": "918-683-4621",
            "fax_number": "918-683-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011809",
            "telephone_number": "191-868-3462",
            "fax_number": "918-683-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISOTTO",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "TA506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.