Individual provider Active NPI

Kevin Michael Wilcher, D.P.T

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1356593131
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4159 Issued in OK
Practice address
12200 N Macarthur Blvd Ste H
Oklahoma City, OK 73162-1849
Phone
(405) 809-8660
Fax
(405) 603-6676
NPI assigned
Oct 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 4159 OK Primary

Addresses

Primary practice location

12200 N Macarthur Blvd Ste H
Oklahoma City, OK 73162-1849

Mailing address

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000573 OK Practitioner - Physical Therapist in Private Practice 0244392389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
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)

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

7115 NW 150TH St
4 Physical Therapy Central NW Okc
Oklahoma City, OK 73142-9704
Phone (405) 809-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4159OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Physical Therapist CurrentSince Mar 30, 2015 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Mar 30, 2015 Accepting new patients
PTMS 3.O, LLC Physical Therapist Past Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients
PTMS 3.0, LLC Physical Therapist Past Accepting new patients

Locations

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

12200 N MacArthur Blvd
Ste H
Oklahoma City, OK 73162
Phone (405) 809-8660

7115 NW 150th St
Ste 4
Oklahoma City, OK 73142
Phone (405) 809-8660

34637 Airline Rd
Pauls Valley, OK 73075
Phone (405) 238-7000

Organizations & group practices 5

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": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1356593131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCHANT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696470",
            "telephone_number": "405-809-8713",
            "fax_number": "405-573-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 N MACARTHUR BLVD STE H",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621849",
            "telephone_number": "405-809-8660",
            "fax_number": "405-603-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCHER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4159",
            "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 Mar 13, 2017; 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.