John V Marrujo, PT
Individual provider Active NPI Physical Therapist · Davis, OK
NPI 1295837136 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1295837136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1028 (OK)
- Practice address
- 201 W Main St
Davis, OK 73030-1749 - Phone
- (580) 369-3900
- Fax
- (580) 369-3901
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PTMS 3.0 LLC
Practice addresses (Care Compare)
440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713
8006 NW 39TH Expressway
Physical Therapy Central of Bethany
Oklahoma City, OK 73008-3005
Phone (405) 603-5222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000979 | OK | Practitioner - Physical Therapist in Private Practice | 1850425018 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028 | OK | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current |
Accepting new patients |
| The Physicians Group LLC | Current |
Accepting new patients | |
| PTMS 3.0, LLC | Physical Therapist | Past | Accepting new patients |
Locations
8006 NW 39th Expy
Bethany, OK 73008
Phone (405) 603-5222
201 W Main St
Davis, OK 73030
Phone (580) 369-3900
440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1028 | OK | Yes |
Addresses
Primary practice location
201 W Main St
Davis, OK 73030-1749
Mailing address
440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713
Other providers in Davis, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.