Active NPI
Elizabeth A Hancock, PTA
- Physical Therapy Assistant
- Tulsa, OK
National Provider Identifier
1285203448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 283
- Practice address
- 11414 E 51St St Ste E
Tulsa, OK 74146-5823 - Phone
- (918) 249-0623
- NPI assigned
- Jun 22, 2021
- 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 Therapy Assistant | 225200000X | 283 | OK | Primary |
Addresses
Primary practice location
11414 E 51St St Ste E
Tulsa, OK 74146-5823
Mailing address
7402 W 34TH PL
Tulsa, OK 74107-4508
Phone (918) 695-7850
Other names 1
- Annie Hancock
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1285203448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 W 34TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741074508",
"telephone_number": "918-695-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 E 51ST ST STE E",
"city": "TULSA",
"state": "OK",
"postal_code": "741465823",
"telephone_number": "918-249-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "HANCOCK",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}
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 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.