Individual provider Active NPI

Trevor Ryan McKay, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1265924229
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5498 Issued in OK
Practice address
3345 S Harvard Ave Ste 101
Tulsa, OK 74135-1800
Phone
(918) 743-3737
NPI assigned
Jun 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5498 OK Primary

Addresses

Primary practice location

3345 S Harvard Ave Ste 101
Tulsa, OK 74135-1800

Mailing address

1327 S College Ave
Tulsa, OK 74104-4815
Phone (972) 795-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712000379 OK Practitioner - Physical Therapist in Private Practice 3870849433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Specialists, PLLCGroup PAC ID 6901123447, 9 clinicians

Practice addresses (Care Compare)

3345 S Harvard Ave
Suite 101
Tulsa, OK 74135-1800
Phone (918) 574-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5498OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Specialists, PLLC CurrentSince Jun 20, 2018 Accepting new patients

Locations

3345 S Harvard Ave
Ste 301
Tulsa, OK 74135
Phone (918) 574-2575

3345 S Harvard Ave
Ste 101
Tulsa, OK 74135
Phone (918) 574-2575

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1265924229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 S COLLEGE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044815",
            "telephone_number": "972-795-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351800",
            "telephone_number": "918-743-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "TREVOR",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.