Physical Solutions Edmond, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PHYSICAL SOLUTIONS EDMOND, PLLC

Practice address

800 W 18TH St Ste 130
Edmond, OK 73013-3759

Phone

(405) 726-2727

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desiree Koenig

Title

Office Manager

Phone

(405) 726-2727

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1285485987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST STE 130",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133759",
            "telephone_number": "405-726-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST STE 130",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133759",
            "telephone_number": "405-726-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL SOLUTIONS EDMOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-726-2727"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.