Individual provider Active NPI

Jeanette Carlin, PT, DPT

  • Physical Therapist
  • Midwest City, OK
National Provider Identifier
1376054353
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5299 Issued in OK
Practice address
7005 SE 15TH St Ste 200
Midwest City, OK 73110-5126
Phone
(405) 610-2488
NPI assigned
Oct 18, 2017
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 5299 OK Primary

Addresses

Primary practice location

7005 SE 15TH St Ste 200
Midwest City, OK 73110-5126

Mailing address

700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-3658

Other practice location 1

153 E State Highway 152
Mustang, OK 73064-4406
Phone (405) 376-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206000737 OK Practitioner - Physical Therapist in Private Practice 9133486749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

1714 S Kelly Ave
Nvoc 8
Edmond, OK 73013-3624
Phone (405) 285-8845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5299OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Aug 15, 2017 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients
Valir Outpatient Clinic #10 LLC Physical Therapist Past Accepting new patients
Valir Hospice Care, LLC PastSince Jan 25, 2017 Accepting new patients

Locations

1714 S Kelly Ave
#8
Edmond, OK 73013
Phone (405) 285-8845

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

7005 SE 15th St
Ste 200
Midwest City, OK 73110
Phone (405) 610-2488

153 E State Highway 152
Mustang, OK 73064
Phone (405) 376-3535

700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600

800 NW 6th St
Oklahoma City, OK 73106
Phone (405) 609-3636

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1376054353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3658",
            "fax_number": "800-506-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 SE 15TH ST STE 200",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105126",
            "telephone_number": "405-610-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 E State Highway 152",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644406",
            "country_code": "US",
            "telephone_number": "405-376-3535",
            "fax_number": "405-373-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "JEANETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.