NPIMap

Organization Active NPI

Stillwater Medical Center

  • Physical Therapy Clinic/Center
  • Stillwater, OK
National Provider Identifier
1295940963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1235 Issued in OK
Legal business name
STILLWATER MEDICAL CENTER
Practice address
1810 N Perkins Rd
Stillwater, OK 74075-2992
Phone
(405) 624-6592
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Holly Christine Farris
Title
Pta
Phone
(405) 624-6592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1235 OK Primary

Addresses

Primary practice location

1810 N Perkins Rd
Stillwater, OK 74075-2992

Mailing address

1015 E Maple St
Cushing, OK 74023-2821
Phone (918) 306-1806

National Provider Directory

National Provider Directory

Locations

1810 N Perkins Rd
Stillwater, OK 74075
Phone (405) 624-6592

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295940963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E MAPLE ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232821",
            "telephone_number": "918-306-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752992",
            "telephone_number": "405-624-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "405-624-6592",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

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