Organization Active NPI

Regional Physical Therapy Inc

  • Physical Therapist
  • Midwest City, OK
National Provider Identifier
1336167204
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REGIONAL PHYSICAL THERAPY INC
Practice address
9309 E Reno Ave
Midwest City, OK 73130-3321
Phone
(405) 732-3353
Fax
(405) 732-3397
NPI assigned
Jul 18, 2006
Last updated
Jul 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Denice Copus
Title
Vice-President of Administration
Phone
(405) 732-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

9309 E Reno Ave
Midwest City, OK 73130-3321

Mailing address

9309 E Reno Ave
Midwest City, OK 73130-3321
Phone (405) 732-3353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000301 OK Part B Supplier - Clinic/Group Practice 3678533387 Receives reassigned benefits from 10 practitioners
Practice locations: Midwest City, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

11704 S Western Ave
Oklahoma City, OK 73170
Phone (405) 692-5205

9309 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-3353

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1336167204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303321",
            "telephone_number": "405-732-3353",
            "fax_number": "405-732-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303321",
            "telephone_number": "405-732-3353",
            "fax_number": "405-732-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "COPUS",
        "authorized_official_first_name": "DENICE",
        "authorized_official_title_or_position": "VICE-PRESIDENT OF ADMINISTRATION",
        "authorized_official_telephone_number": "405-732-3353"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.