Christy Deann Epperson, PT, GCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2356 Issued in OK

Practice address

604 Village Blvd
McAlester, OK 74501-1924

Phone

(580) 916-6096

Fax

(580) 745-9467

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Christy Deann Race Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1194758052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 VILLAGE BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745011924",
            "telephone_number": "580-916-6096",
            "fax_number": "580-745-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 VILLAGE BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745011924",
            "telephone_number": "580-916-6096",
            "fax_number": "580-745-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5306 Stonebriar Cir",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747011702",
            "country_code": "US",
            "telephone_number": "580-916-8283",
            "fax_number": "580-745-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "CHRISTY",
        "middle_name": "DEANN",
        "name_prefix": "Ms.",
        "credential": "PT, GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100835420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "RACE",
            "middle_name": "DEANN",
            "prefix": "MS.",
            "credential": "PT, GCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in McAlester, OK
• Providers in McAlester, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.