Individual provider Active NPI

Tanner Elise Winterton, DPT

  • Physical Therapist
  • Pauls Valley, OK
National Provider Identifier
1194456715
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6168 Issued in OK
Practice address
34637 Airline Rd
Pauls Valley, OK 73075-8583
Phone
(918) 238-7000
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6168 OK Primary

Addresses

Primary practice location

34637 Airline Rd
Pauls Valley, OK 73075-8583

Mailing address

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921000357 OK Practitioner - Physical Therapist in Private Practice 6608251046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6168OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Clutch Sports Performance LLC Current Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Jul 8, 2024 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

2000 Ann Branden Blvd
Ste 202
Norman, OK 73071
Phone (405) 253-1850

724 24th Ave NW
Ste 100
Norman, OK 73069
Phone (405) 447-1571

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

34637 Airline Rd
Pauls Valley, OK 73075
Phone (405) 238-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1194456715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCHANT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696470",
            "telephone_number": "405-809-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34637 AIRLINE RD",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730758583",
            "telephone_number": "918-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERTON",
        "first_name": "TANNER",
        "middle_name": "ELISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.