Active NPI
Jacklyn Annmarie Riner
- Physical Therapy Assistant
- Owasso, OK
National Provider Identifier
1265681415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1349
- Practice address
- 8110 N 122ND East Ave
Owasso, OK 74055-6205 - Phone
- (918) 639-2212
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 1349 | OK | Primary |
Addresses
Primary practice location
8110 N 122ND East Ave
Owasso, OK 74055-6205
Mailing address
8110 N 122ND East Ave
Owasso, OK 74055-6205
Phone (918) 639-2212
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 |
|---|---|---|---|
| 1349 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1265681415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 N 122ND EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556205",
"telephone_number": "918-639-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 N 122ND EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740556205",
"telephone_number": "918-639-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINER",
"first_name": "JACKLYN",
"middle_name": "ANNMARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.