Valir Outpatient Clinic #17 LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VALIR OUTPATIENT CLINIC #17 LLC

Practice address

2222 W Iowa Ave
Chickasha, OK 73018-2738

Phone

(405) 222-9537

Fax

(405) 222-9566

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Savanah Patt

Title

VP

Phone

(405) 609-3600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584835200000",
    "number": "1295260644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-222-9537",
            "fax_number": "405-222-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIR OUTPATIENT CLINIC #17 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "SAVANAH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "405-609-3600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051680S",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Paul Townsend, RPH
• Traditions Health Care of Chickasha, LLC
• David Albert Trevino Jr.
• Rory Troub Wiederstein, DC
• Kumudini M Vaidya, MD
• John C Vallandigham, M.D.
• Lee Vanderlugt, DO
• Richard W Varley, O.D.
• Paula M Veach
• Craig J Verdin, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.