Organization Active NPI

Joyful Heart Pediatric Therapy, PLLC

  • Pediatric Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1235748229
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
JOYFUL HEART PEDIATRIC THERAPY, PLLC
Practice address
2608 W Kenosha St # 496
Broken Arrow, OK 74012-8952
Phone
(918) 284-4220
Fax
(918) 249-2817
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Monica Elaine Messmer-Tunnell, PTNPI 1477550101
Title
PT, Owner
Phone
(918) 284-4220

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
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

2608 W Kenosha St # 496
Broken Arrow, OK 74012-8952

Mailing address

2608 W Kenosha St # 496
Broken Arrow, OK 74012-8952
Phone (918) 284-4220

Other identifiers 1

IdentifierTypeStateIssuer
100665910CMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@joyfulheartpediatrictherapy.com Direct

National Provider Directory

National Provider Directory

Locations

2608 W Kenosha St
Broken Arrow, OK 74012
Phone (918) 259-0001

Practitioners & affiliated clinicians

Practitioners 1

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": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1235748229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 W KENOSHA ST # 496",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128952",
            "telephone_number": "918-284-4220",
            "fax_number": "918-249-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 W KENOSHA ST # 496",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128952",
            "telephone_number": "918-284-4220",
            "fax_number": "918-249-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL HEART PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MESSMER-TUNNELL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "918-284-4220",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100665910C",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@joyfulheartpediatrictherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2608 W Kenosha St # 496",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740128952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 27, 2020; 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.