Active NPI
John V Marrujo, PT
- Physical Therapist
- Davis, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1028
- Practice address
- 201 W Main St
Davis, OK 73030-1749 - Phone
- (580) 369-3900
- Fax
- (580) 369-3901
- NPI assigned
- Sep 1, 2006
- Last updated
- Jun 24, 2015
- Sex
- Male
- 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 Therapist | 225100000X | 1028 | OK | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physicians Group LLC | Current | Accepting new patients | |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | 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
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1295837136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MERCHANT DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696470",
"telephone_number": "405-809-8713",
"fax_number": "405-573-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MAIN ST",
"city": "DAVIS",
"state": "OK",
"postal_code": "730301749",
"telephone_number": "580-369-3900",
"fax_number": "580-369-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRUJO",
"first_name": "JOHN",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.