NPIMap

Organization Active NPI

Adaptable Physical Therapy LLC

  • Physical Therapist
  • Grove, OK
National Provider Identifier
1255034476
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADAPTABLE PHYSICAL THERAPY LLC
Practice address
21 E 3Rd St
Grove, OK 74344-7034
Phone
(918) 791-8789
Fax
(877) 912-0432
NPI assigned
Mar 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Authorized official

Name
Dr. Samantha Lynn Chamberlain, PT, DPT, CERT- MMOANPI 1710401963
Title
Owner/PT
Phone
(918) 791-8789

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

21 E 3Rd St
Grove, OK 74344-7034

Mailing address

21 E 3Rd St
Grove, OK 74344-7034
Phone (918) 791-8789

Other names 1

  • ADAPTABLE PHYSICAL THERAPY Doing business as

Practitioners 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511002219 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496111726 Receives reassigned benefits from 3 practitioners
Practice locations: Grove, OK

National Provider Directory

National Provider Directory

Locations

21 E 3rd St
Grove, OK 74344
Phone (918) 791-8789

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1255034476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E 3RD ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447034",
            "telephone_number": "918-791-8789",
            "fax_number": "877-912-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E 3RD ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447034",
            "telephone_number": "918-791-8789",
            "fax_number": "877-912-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTABLE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "918-791-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CERT- MMOA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAPTABLE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.