Active NPI
Propel Physical Therapy
- Physical Therapist
- Broken Arrow, OK
National Provider Identifier
1205537719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent Frisillo, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Tulsa, OK
- NPI 1619081858
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1902814510
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.