Active NPI
Elizabeth Edison Fielding, PT
- Physical Therapist
- Cleveland, OK
National Provider Identifier
1366706889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT985
- Practice address
- 910 W Caddo St
Cleveland, OK 74020-4202 - Phone
- (918) 760-0321
- Fax
- (918) 358-5230
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | PT985 | OK | Primary |
Addresses
Primary practice location
910 W Caddo St
Cleveland, OK 74020-4202
Mailing address
1505 Rock Ridge Dr
Cleveland, OK 74020-9676
Phone (918) 760-0321
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT985 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1366706889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 ROCK RIDGE DR",
"city": "CLEVELAND",
"state": "OK",
"postal_code": "740209676",
"telephone_number": "918-760-0321",
"fax_number": "918-358-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W CADDO ST",
"city": "CLEVELAND",
"state": "OK",
"postal_code": "740204202",
"telephone_number": "918-760-0321",
"fax_number": "918-358-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDING",
"first_name": "ELIZABETH",
"middle_name": "EDISON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "PT985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.