Active NPI
Madeline Kate Rose
- Physical Therapist
- McAlester, OK
National Provider Identifier
1194557066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6601
- Practice address
- 1 E Clark Bass Blvd
McAlester, OK 74501-4209 - Phone
- (918) 426-1800
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 6601 | OK | Primary |
Addresses
Primary practice location
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Mailing address
PO Box 429
Stigler, OK 74462-0429
Phone (918) 869-1058
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6601 | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1194557066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "STIGLER",
"state": "OK",
"postal_code": "744620429",
"telephone_number": "918-869-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "918-426-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MADELINE",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.