Active NPI
Derrien Relyea, P.T.
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1366445488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2774
- Practice address
- 6400 N Santa Fe Ave
Ste B
Oklahoma City, OK 73116-9126 - Phone
- (405) 840-2903
- Fax
- (405) 840-3256
- NPI assigned
- May 23, 2005
- 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 | 2774 | OK | Primary |
Addresses
Primary practice location
6400 N Santa Fe Ave
Ste B
Oklahoma City, OK 73116-9126
Mailing address
6400 N Santa Fe Ave
Ste B
Oklahoma City, OK 73116-9126
Phone (405) 840-2903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T1600 | Other | TX | BCBS PAR PLAN PROVIDER # |
| 8T1600 | Other | TX | BCBS BLUE LINK PROVIDER # |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Focus on Function, Inc. | Physical Therapist | Past | Accepting new patients |
| Livingston Physician Services PA | Past | Accepting new patients |
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.
-
- Physical Therapist
- Edmond, OK
- NPI 1700950367
-
- Physical Therapist
- Livingston, TX
- NPI 1215930326
-
- Hospitalist Physician
- Livingston, TX
- NPI 1972891042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1366445488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 N SANTA FE AVE",
"address_2": "STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169126",
"telephone_number": "405-840-2903",
"fax_number": "405-840-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 N SANTA FE AVE",
"address_2": "STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169126",
"telephone_number": "405-840-2903",
"fax_number": "405-840-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELYEA",
"first_name": "DERRIEN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PAR PLAN PROVIDER #",
"identifier": "8T1600",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUE LINK PROVIDER #",
"identifier": "8T1600",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Reliable Discount Pharmacy Inc
- Reliant Counseling Services, LLC
- Reliant Health Providers LLC
- Reliant Living Centers of Oklahoma
- Reliant Living Centers of Oklahoma, Inc
- Rem Oklahoma Community Services LLC
- Reme Healthcare Corp
- Remedi Seniorcare of Oklahoma LLC
- Remedy Medical Supply Inc
- Remember When Assisted Living, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.