Active NPI
Cherlyn Renee Cunningham, P.T.
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1336346626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2817
- Practice address
- 4815 S Harvard Ave
Tulsa, OK 74135-3055 - Phone
- (918) 712-7805
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2817 | OK | Primary |
Addresses
Primary practice location
4815 S Harvard Ave
Tulsa, OK 74135-3055
Mailing address
1527 W 78TH St
315
Tulsa, OK 74132-4611
Phone (918) 527-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2817 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1336346626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 W 78TH ST",
"address_2": "315",
"city": "TULSA",
"state": "OK",
"postal_code": "741324611",
"telephone_number": "918-527-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741353055",
"telephone_number": "918-712-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CHERLYN",
"middle_name": "RENEE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.