Jim Lee Pitman, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2859 Issued in OK

Practice address

2 W Main St
Suite 200
Ardmore, OK 73401-6505

Phone

(580) 223-3383

Fax

(580) 223-6696

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Odyssey Health Care Inc.

  • Physical Therapy Clinic/Center
  • Ardmore, OK
  • NPI 1144268285
  NPD (past)
• Odyssey Healthcare Inc

  • Physical Therapy Clinic/Center
  • Ardmore, OK
  • NPI 1265515712
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215090105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016505",
            "telephone_number": "580-223-3383",
            "fax_number": "580-223-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016505",
            "telephone_number": "580-223-3383",
            "fax_number": "580-223-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "JIM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Pierce
• Brandi Dawn Pierce
• Zoie Pierce
• Susan Kelli Pipes, MS LPC CAND.
• Cristin Pitman
• Madison Pitmon
• Jeni Pittman
• Kaitlyn Mackenzi Pollard
• Tina Pope
• Emily Kaye Porter, MS, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.