Individual provider Active NPI

Amanda Marie Kouri, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1386338978
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6318 Issued in OK
Practice address
3333 W Hefner Rd Ste D
Oklahoma City, OK 73120-5060
Phone
(405) 849-9205
Fax
(405) 400-8788
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 6318 OK Primary

Addresses

Primary practice location

3333 W Hefner Rd Ste D
Oklahoma City, OK 73120-5060

Mailing address

3333 W Hefner Rd Ste D
Oklahoma City, OK 73120-5060
Phone (405) 849-9205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628003734 OK Practitioner - Physical Therapist in Private Practice 0446619167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical TherapyGroup PAC ID 1153733498, 2 clinicians

Practice addresses (Care Compare)

3100 W Britton Rd
Suite H
Oklahoma City, OK 73120-2036
Phone (405) 849-9205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients

Locations

3100 W Britton Rd
Ste H
Oklahoma City, OK 73120
Phone (405) 849-9205

3333 W Hefner Rd
Ste D
Oklahoma City, OK 73120
Phone (405) 202-0702

Organizations & group practices 1

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1386338978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W HEFNER RD STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205060",
            "telephone_number": "405-849-9205",
            "fax_number": "405-400-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W HEFNER RD STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205060",
            "telephone_number": "405-849-9205",
            "fax_number": "405-400-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6318",
            "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 Jun 6, 2023; 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.