Active NPI
David Wesley Stanton, P.T.
- Physical Therapist
- Purcell, OK
National Provider Identifier
1235432006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2488
- Practice address
- 1500 N Green Ave
Purcell, OK 73080-1642 - Phone
- (405) 527-6524
- Fax
- (405) 527-1504
- NPI assigned
- Dec 16, 2010
- Sex
- Male
- 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 | 2488 | OK | Primary |
Addresses
Primary practice location
1500 N Green Ave
Purcell, OK 73080-1642
Mailing address
PO Box 511
Purcell, OK 73080-0511
Phone (405) 527-6524
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100699900A | Medicaid | OK | |
| 37U158 | Other | OK | MEDICARE SKILLED FACILITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2488 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1235432006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511",
"city": "PURCELL",
"state": "OK",
"postal_code": "730800511",
"telephone_number": "405-527-6524",
"fax_number": "405-527-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N GREEN AVE",
"city": "PURCELL",
"state": "OK",
"postal_code": "730801642",
"telephone_number": "405-527-6524",
"fax_number": "405-527-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "DAVID",
"middle_name": "WESLEY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-16",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100699900A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SKILLED FACILITY",
"identifier": "37U158",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Purcell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.