Active NPI
Whitney Alyse Eastwood, DPT
- Physical Therapist
- Duncan, OK
National Provider Identifier
1346537115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4440
- Practice address
- 2150 W Elk Ave
Duncan, OK 73533-1827 - Phone
- (580) 251-8460
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 4440 | OK | Primary |
Addresses
Primary practice location
2150 W Elk Ave
Duncan, OK 73533-1827
Mailing address
302592 Old Highway 7
Ratliff City, OK 73481-5811
Phone (580) 467-5530
Other practice location 1
1507 Brookwood Ave
Duncan, OK 73533-1316
Phone (580) 252-9159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200347190 A | Medicaid | OK |
Other names 1
- Whitney Alyse Pruitt
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 |
|---|---|---|---|
| 4440 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valir Outpatient Clinics LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Shawnee, OK
- NPI 1245765536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1346537115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302592 OLD HIGHWAY 7",
"city": "RATLIFF CITY",
"state": "OK",
"postal_code": "734815811",
"telephone_number": "580-467-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W ELK AVE",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331827",
"telephone_number": "580-251-8460"
}
],
"practiceLocations": [
{
"address_1": "1507 Brookwood Ave",
"address_purpose": "LOCATION",
"city": "Duncan",
"state": "OK",
"postal_code": "735331316",
"country_code": "US",
"telephone_number": "580-252-9159",
"fax_number": "580-255-2158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTWOOD",
"first_name": "WHITNEY",
"middle_name": "ALYSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200347190 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "PRUITT",
"middle_name": "ALYSE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.