Individual provider Active NPI

Joy Skeels, PTA

  • Physical Therapy Assistant
  • Tahlequah, OK
National Provider Identifier
1265632665
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1248 Issued in OK
Practice address
1500 E Downing St Ste 210
Tahlequah, OK 74464-3379
Phone
(918) 458-5115
Fax
(918) 458-5119
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1248 OK Primary

Addresses

Primary practice location

1500 E Downing St Ste 210
Tahlequah, OK 74464-3379

Mailing address

17966 W Grandview Rd
Tahlequah, OK 74464-1012
Phone (918) 431-1397

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

LicenseStateTypeSpecialty
1248OKMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1265632665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17966 W GRANDVIEW RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744641012",
            "telephone_number": "918-431-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DOWNING ST STE 210",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643379",
            "telephone_number": "918-458-5115",
            "fax_number": "918-458-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEELS",
        "first_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.