Individual provider Active NPI

Jonathan Riley Nix, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1346651908
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1242457 Issued in TX
Practice address
1500 W I 240 Service Rd Ste A14
Oklahoma City, OK 73159-8203
Phone
(405) 632-1002
NPI assigned
May 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1242457 TX Primary

Addresses

Primary practice location

1500 W I 240 Service Rd Ste A14
Oklahoma City, OK 73159-8203

Mailing address

3016 Chadwicke Dr
Edmond, OK 73013-7861
Phone (817) 999-5741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127000440 OK Practitioner - Physical Therapist in Private Practice 7012442031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PTMS 3.0 LLCGroup PAC ID 2365768231, 115 clinicians

Practice addresses (Care Compare)

1260 W Covell Road
1 Physical Therapy Central of North Edmond
Edmond, OK 73003-3556
Phone (405) 471-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1242457TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Physical Therapist Current Accepting new patients
PTMS 3.O, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1260 W Covell Rd
Ste 1
Edmond, OK 73003
Phone (405) 471-5522

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1346651908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 CHADWICKE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137861",
            "telephone_number": "817-999-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W I 240 SERVICE RD STE A14",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731598203",
            "telephone_number": "405-632-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "JONATHAN",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1242457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.