Active NPI
Paul Roger Lam
- Physical Therapist
- Enid, OK
National Provider Identifier
1255513495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2651
- Practice address
- 305 S 5TH St
Enid, OK 73701-5832 - Phone
- (580) 548-5072
- Fax
- (580) 548-5070
- NPI assigned
- Nov 29, 2007
- 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 | 2651 | OK | Primary |
Addresses
Primary practice location
305 S 5TH St
Enid, OK 73701-5832
Mailing address
305 S 5TH St
Enid, OK 73701-5832
Phone (580) 548-5072
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 |
|---|---|---|---|
| 2651 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1255513495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015832",
"telephone_number": "580-548-5072",
"fax_number": "580-548-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015832",
"telephone_number": "580-548-5072",
"fax_number": "580-548-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "PAUL",
"middle_name": "ROGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.