Active NPI
Melissa Michelle Killgore, P.T,
- Physical Therapist
- Shawnee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2089
- Practice address
- 3315 Kethley Rd
Shawnee, OK 74804-9638 - Phone
- (405) 273-5801
- Fax
- (405) 878-3814
- NPI assigned
- May 28, 2006
- 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 | 2089 | OK | Primary |
Addresses
Primary practice location
3315 Kethley Rd
Shawnee, OK 74804-9638
Mailing address
PO Box 849
Shawnee, OK 74802-0849
Phone (405) 273-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 81.18
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 72.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care of Oklahoma, Inc. | Current | Accepting new patients | |
| SSM Health Care of Oklahoma Inc | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1487677456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1194772699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 849",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748020849",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 KETHLEY RD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748049638",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLGORE",
"first_name": "MELISSA",
"middle_name": "MICHELLE",
"credential": "P.T,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.