Active NPI
Jennifer K. Ranallo, P.T.
- Physical Therapist
- McAlester, OK
National Provider Identifier
1265746127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4353
- Practice address
- 221 E Comanche Ave
McAlester, OK 74501-5845 - Phone
- (918) 423-1181
- Fax
- (918) 423-1191
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- 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 | 4353 | OK | Primary |
Addresses
Primary practice location
221 E Comanche Ave
McAlester, OK 74501-5845
Mailing address
221 E Comanche Ave
McAlester, OK 74501-5845
Phone (918) 423-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200300530A | Medicaid | OK |
Other names 1
- Ms. Jennifer K. Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4353 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Redbud Physical Rehabilitation PC | Physical Therapist | Past | Accepting new patients |
Locations
221 E Comanche Ave
McAlester, OK 74501
Phone (918) 423-1181
1010 Garth Brooks Blvd
Ste 135
Yukon, OK 73099
Phone (405) 350-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Stillwater, OK
- NPI 1205162716
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Physical Therapist
- Tulsa, OK
- NPI 1356339659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1265746127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 E COMANCHE AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015845",
"telephone_number": "918-423-1181",
"fax_number": "918-423-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E COMANCHE AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015845",
"telephone_number": "918-423-1181",
"fax_number": "918-423-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANALLO",
"first_name": "JENNIFER",
"middle_name": "K.",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200300530A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MARTIN",
"middle_name": "K.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.