Chance Physical Therapy & Fitness PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT2130 Issued in OK

Legal business name

CHANCE PHYSICAL THERAPY & FITNESS PC

Practice address

1301 SE Lynn Lane
Idabel, OK 74745-6845

Phone

(580) 286-7848

Fax

(580) 286-7863

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chance Chetta SaelimNPI 1659444156

Title

President Owner

Phone

(580) 286-7848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chance Chetta Saelim, PT

  • Physical Therapist
  • Idabel, OK
  • NPI 1659444156
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265553408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SE LYNN LANE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456845",
            "telephone_number": "580-286-7848",
            "fax_number": "580-286-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SE LYNN LANE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456845",
            "telephone_number": "580-286-7848",
            "fax_number": "580-286-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE PHYSICAL THERAPY & FITNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAELIM",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_middle_name": "CHETTA",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "580-286-7848"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "PT2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Leigh Cannon, BHRS
• Tanaka Cantu, LPN
• Keeley Danielle Castillo, MS, RD, LD
• Claire Cavinder, PMHNP-BC
• Brenda Gayle Chadwick-Liechti, M.S.C., LPC, CM-A
• Chandler-Hewitt Drug Inc (Chandler Hewitt RX)
• Childrens Behavioral Centers LLP
• Annette Ledawn Choate
• Choctaw Nation Health Services
• Choctaw Nation of Oklahoma (Choctaw Nation Health Clinic-Idabel)

• Physical Therapy Clinic/Center in Idabel, OK
• Providers in Idabel, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.