Individual provider Active NPI

Brady Hargis, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1295167104
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
119 E 4TH St
Tulsa, OK 74103-5002
Phone
(918) 382-0200
Fax
(918) 382-0218
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 Primary

Addresses

Primary practice location

119 E 4TH St
Tulsa, OK 74103-5002

Mailing address

4812 E 33Rd St
Tulsa, OK 74135-2038

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4699OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redbud Physical Therapy LLC CurrentSince Oct 12, 2016 Accepting new patients
Redbud Physical Therapy LLC Physical Therapist CurrentSince Oct 12, 2016 Accepting new patients

Locations

825 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 252-0513

707 W Main St
Collinsville, OK 74021
Phone (918) 371-2800

12641 S State Highway 51
Coweta, OK 74429
Phone (918) 486-1338

500 E 141st St
Glenpool, OK 74033
Phone (918) 322-3884

1118 S Main St
Grove, OK 74344
Phone (918) 786-9883

12326 E 86th St N
Owasso, OK 74055
Phone (918) 272-1923

1486 S Elliott St
Pryor, OK 74361
Phone (918) 825-2333

200 N Main St
Ste C
Sand Springs, OK 74063
Phone (918) 227-7888

209 E Rogers Blvd
Skiatook, OK 74070
Phone (918) 396-9799

4812 E 33rd St
Tulsa, OK 74135
Phone (918) 622-4126

119 E 4th St
Tulsa, OK 74103
Phone (918) 382-0200

4526 S Peoria Ave
Tulsa, OK 74105
Phone (918) 794-9000

4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126

817 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-3100

Organizations & group practices 2

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1295167104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E 4TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741035002",
            "telephone_number": "918-382-0200",
            "fax_number": "918-382-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "BRADY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 1, 2013; 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.