NPIMap

Organization Active NPI

Human Performance Center 10 PC

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1245473115
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1347 Issued in OK
Legal business name
HUMAN PERFORMANCE CENTER 10 PC
Practice address
180 W 15TH St
Edmond, OK 73013-3603
Phone
(405) 471-5444
Fax
(405) 471-5446
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Andrea Morrissey
Title
Office Manager
Phone
(405) 946-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT1347 OK Primary

Addresses

Primary practice location

180 W 15TH St
Edmond, OK 73013-3603

Mailing address

180 W 15TH St
Edmond, OK 73013-3603
Phone (405) 471-5444

National Provider Directory

National Provider Directory

Locations

180 W 15th St
Edmond, OK 73013
Phone (405) 471-5444

Practitioners & affiliated clinicians

Practitioners 3

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": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1245473115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133603",
            "telephone_number": "405-471-5444",
            "fax_number": "405-471-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133603",
            "telephone_number": "405-471-5444",
            "fax_number": "405-471-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE CENTER 10 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-946-7300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.