Active NPI
Merle Basquez
- Physical Therapist
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3308 W Okmulgee St
Muskogee, OK 74401-5069 - Phone
- (918) 683-7731
- NPI assigned
- Aug 25, 2006
- 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 | Primary |
Addresses
Primary practice location
3308 W Okmulgee St
Muskogee, OK 74401-5069
Mailing address
21092 E 102ND St
Broken Arrow, OK 74014-3617
Phone (918) 449-0503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2106 | Other | OK | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130201000392 | OK | Practitioner - Physical Therapist in Private Practice | 8123038700 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1010 Garth Brooks Blvd
Suite 135
Yukon, OK 73099-4194
Phone (405) 350-2000
8110 S Yale Ave
Suite 201
Tulsa, OK 74137-2294
Phone (539) 235-0170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2106 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Services of Bartlesville Inc | Physical Therapist | Past | Accepting new patients |
Locations
1010 Garth Brooks Blvd
Ste 135
Yukon, OK 73099
Phone (405) 350-2000
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Stillwater, OK
- NPI 1205162716
OK, Physical Therapist
-
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Physical Therapist
- Bartlesville, OK
- NPI 1902844582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306954078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21092 E 102ND ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740143617",
"telephone_number": "918-449-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 W OKMULGEE ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015069",
"telephone_number": "918-683-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASQUEZ",
"first_name": "MERLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "2106",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.