Active NPI
Mobile Cardiac Imaging, LLC
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1316986722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOBILE CARDIAC IMAGING, LLC
- Doing business as
- MCI Physical Therapy
- Practice address
- 7018 S Utica Ave
Tulsa, OK 74136-3907 - Phone
- (918) 744-1001
- Fax
- (918) 744-9729
- NPI assigned
- Jun 5, 2006
- Organization subpart
- Yes
- Parent organization
- MCI DIAGNOSTIC CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Jeneth Payne
- Title
- Owner
- Phone
- (918) 744-1001
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | 3567 | OK |
Addresses
Primary practice location
7018 S Utica Ave
Tulsa, OK 74136-3907
Mailing address
7018 S Utica Ave
Tulsa, OK 74136-3907
Phone (918) 744-1001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200222370A | Medicaid | OK | |
| 200031560B | Medicaid | OK |
Other names 1
- MCI Physical Therapy
National Provider Directory
National Provider Directory- Part of
- Mobile Cardiac Imaging
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
7008 S Utica Ave
Tulsa, OK 74136
Phone (918) 523-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1316986722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7018 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363907",
"telephone_number": "918-744-1001",
"fax_number": "918-744-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7018 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363907",
"telephone_number": "918-744-1001",
"fax_number": "918-744-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE CARDIAC IMAGING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MCI DIAGNOSTIC CENTER",
"enumeration_date": "2006-06-05",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "JENETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-744-1001"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OK",
"license": "3567",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200222370A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200031560B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCI Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.