NPIMap

Organization Active NPI

Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Skiatook, OK
National Provider Identifier
1316345705
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY OKLAHOMA LLC
Practice address
1355 W Rogers Blvd
Suite 10
Skiatook, OK 74070-4204
Phone
(918) 396-7125
Fax
(918) 396-7186
NPI assigned
Dec 17, 2014
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Bryan Barganier
Title
Cfo
Phone
(205) 536-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1355 W Rogers Blvd
Suite 10
Skiatook, OK 74070-4204

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2560 E Kenosha St
Broken Arrow, OK 74014-6712
Phone (918) 994-7864

Other practice location 2

803 W Shawnee Byp Ste B
Muskogee, OK 74401-3535
Phone (918) 608-1135

Other practice location 3

434 S Cherokee St
Catoosa, OK 74015-2710
Phone (918) 266-6200

Other practice location 4

1071 W Blue Starr Dr Ste 105
Claremore, OK 74017-2869
Phone (918) 342-3800

Other practice location 5

165 Steve Barry Blvd
Pryor, OK 74361-6841
Phone (918) 824-4500

Other practice location 6

9455 N Owasso Expy Ste H
Owasso, OK 74055-5457
Phone (918) 376-5077

Other practice location 7

11319 S State Highway 51 Ste 1000
Coweta, OK 74429-7164
Phone (918) 887-8112

Other practice location 8

13809 S Casper St Ste A
Glenpool, OK 74033-2619
Phone (918) 528-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119002137 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315240744 Receives reassigned benefits from 41 practitioners
8 other NPIs on this enrollment
Practice locations: Skiatook, OK; Pryor, OK; Claremore, OK; Owasso, OK; Coweta, OK; Catoosa, OK; Broken Arrow, OK; Muskogee, OK

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Drayer Physical Therapy Oklahoma LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1316345705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W ROGERS BLVD",
            "address_2": "SUITE 10",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740704204",
            "telephone_number": "918-396-7125",
            "fax_number": "918-396-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 E Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740146712",
            "country_code": "US",
            "telephone_number": "918-994-7864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 W Shawnee Byp Ste B",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744013535",
            "country_code": "US",
            "telephone_number": "918-608-1135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "434 S Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Catoosa",
            "state": "OK",
            "postal_code": "740152710",
            "country_code": "US",
            "telephone_number": "918-266-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1071 W Blue Starr Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740172869",
            "country_code": "US",
            "telephone_number": "918-342-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Steve Barry Blvd",
            "address_purpose": "LOCATION",
            "city": "Pryor",
            "state": "OK",
            "postal_code": "743616841",
            "country_code": "US",
            "telephone_number": "918-824-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9455 N Owasso Expy Ste H",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740555457",
            "country_code": "US",
            "telephone_number": "918-376-5077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11319 S State Highway 51 Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Coweta",
            "state": "OK",
            "postal_code": "744297164",
            "country_code": "US",
            "telephone_number": "918-887-8112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13809 S Casper St Ste A",
            "address_purpose": "LOCATION",
            "city": "Glenpool",
            "state": "OK",
            "postal_code": "740332619",
            "country_code": "US",
            "telephone_number": "918-528-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "BARGANIER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-536-7602"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skiatook, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.