Grayson Neal Starbuck, DPT, CSCS, FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4828 Issued in OK

Practice address

1410 Fretz Dr
Edmond, OK 73003-5872

Phone

(405) 285-8477

NPI assigned

Oct 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grayson Starbuck, DPT, PLLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1396334082
  Medicare reassignment NPD Authorized official
• Phycility LLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1649140435
  Medicare reassignment NPD Authorized official
• Central Oklahoma American Indian Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1407969728

  TX

  Medicare reassignment NPD
• Starbuck Medical LLC

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1770255200
  NPD

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1285006189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206101",
            "telephone_number": "405-633-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FRETZ DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035872",
            "telephone_number": "405-285-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731206101",
            "country_code": "US",
            "telephone_number": "405-633-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARBUCK",
        "first_name": "GRAYSON",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS, FAAOMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B Stanbro, M.D., M.P.H
• Malinda Rachele Standley
• Stanley a Horst MD PC
• Aubrey Stanley, PTA
• Tyrone Stanley, M.A.
• Kelsey Startzman, RBT
• Milena Stastny
• State of Oklahoma
• Cameron Steele, MD
• Robert Carl Steele, DDS MS

• Physical Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.