Organization Active NPI

Oklahoma Physical Therapy Choctaw

  • Physical Therapist
  • Choctaw, OK
National Provider Identifier
1285061606
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3512418726 Issued in OK
Legal business name
OKLAHOMA PHYSICAL THERAPY CHOCTAW
Practice address
1716 Harper St
Choctaw, OK 73020-8008
Phone
(405) 281-5785
Fax
(405) 281-5786
NPI assigned
Sep 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Kara N Lee, PTNPI 1629011101
Title
Director
Phone
(405) 749-6281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3512418726 OK Primary

Addresses

Primary practice location

1716 Harper St
Choctaw, OK 73020-8008

Mailing address

PO Box 680
Choctaw, OK 73020-0680
Phone (405) 281-5785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131223000416 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284861170 Receives reassigned benefits from 2 practitioners
Practice locations: Choctaw, OK

National Provider Directory

National Provider Directory

Locations

1960 Harper St
#B
Choctaw, OK 73020

1716 Harper St
Choctaw, OK 73020
Phone (405) 281-5785

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1285061606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730200680",
            "telephone_number": "405-281-5785",
            "fax_number": "405-936-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HARPER ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208008",
            "telephone_number": "405-281-5785",
            "fax_number": "405-281-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA PHYSICAL THERAPY CHOCTAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-749-6281",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3512418726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.