Organization Active NPI

Propel Physical Therapy

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1205537719
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROPEL PHYSICAL THERAPY
Practice address
24216 E Highway 51
Broken Arrow, OK 74014-3473
Phone
(918) 519-0621
NPI assigned
Mar 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Vincent Frisillo, PTNPI 1619081858
Title
Owner/Physical Therapist
Phone
(918) 893-3409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

24216 E Highway 51
Broken Arrow, OK 74014-3473

Mailing address

24216 E Highway 51
Broken Arrow, OK 74014-3473
Phone (918) 519-0621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230719001647 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103291521 Receives reassigned benefits from 2 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

24216 E Highway 51
Broken Arrow, OK 74014
Phone (918) 519-0621

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1205537719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24216 E HIGHWAY 51",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740143473",
            "telephone_number": "918-519-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24216 E HIGHWAY 51",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740143473",
            "telephone_number": "918-519-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPEL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "FRISILLO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-893-3409",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.