Physicians Physical Therapy Service, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

42 Issued in OK

Legal business name

PHYSICIANS PHYSICAL THERAPY SERVICE, INC.

Practice address

1617 N Canary Dr
Edmond, OK 73034-6123

Phone

(405) 340-1022

Fax

(405) 340-1022

NPI assigned

Jul 24, 2008

Organization subpart

Yes

Parent organization

PHYSICIANS PHYSICAL THERAPY SERVICE,INC.As reported in NPPES

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

Authorized official

Name

Mr. John T. Pellow, P.T.

Title

Owner/Operator

Phone

(405) 340-1022

Specialties & licenses 1

Addresses

Part of

Physicians Physical Therapy Service Inc

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1346405776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N CANARY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346123",
            "telephone_number": "405-340-1022",
            "fax_number": "405-340-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N CANARY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346123",
            "telephone_number": "405-340-1022",
            "fax_number": "405-340-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PHYSICAL THERAPY SERVICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS PHYSICAL THERAPY SERVICE,INC.",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "PELLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-340-1022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Edmond, OK
• Providers in Edmond, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.