Organization Active NPI

Therapy Care Outpatient PC

  • Durable Medical Equipment & Medical Supplies
  • Holdenville, OK
National Provider Identifier
1215075528
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THERAPY CARE OUTPATIENT PC
Practice address
317 E 8TH Street
Holdenville, OK 74848
Phone
(405) 379-8085
Fax
(405) 379-8084
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Mrs. Gloria Buenrostro Turner, OCCUPATIONAL THERAPINPI 1497975528
Title
Owner Occupational Therapist
Phone
(405) 379-8085

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 63 OK
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 184 OK
Durable Medical Equipment & Medical Supplies 332B00000X OK Primary

Addresses

Primary practice location

317 E 8TH Street
Holdenville, OK 74848

Mailing address

PO Box 506
Holdenville, OK 74848
Phone (405) 379-8085

Other identifiers 2

IdentifierTypeStateIssuer
100748280AMedicaidOK
100748280BMedicaidOK

National Provider Directory

National Provider Directory

Locations

317 E 8th St
Holdenville, OK 74848
Phone (405) 379-8085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1215075528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-379-8085",
            "fax_number": "405-379-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 8TH STREET",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "74848",
            "telephone_number": "405-379-8085",
            "fax_number": "405-379-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CARE OUTPATIENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "BUENROSTRO",
        "authorized_official_title_or_position": "OWNER OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "405-379-8085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OCCUPATIONAL THERAPI"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "63",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "184",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748280A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748280B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.