Active NPI
Cristita Claudio Blanco, RPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1386855989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1789
- Practice address
- 6600 S Yale Ave Ste 200
Tulsa, OK 74136-3359 - Phone
- (918) 488-6888
- Fax
- (918) 488-6869
- NPI assigned
- May 24, 2007
- 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 | 1789 | OK | Primary |
Addresses
Primary practice location
6600 S Yale Ave Ste 200
Tulsa, OK 74136-3359
Mailing address
300 N Magnolia CT
Broken Arrow, OK 74012-2197
Phone (918) 250-2501
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 |
|---|---|---|---|
| 1789 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386855989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N MAGNOLIA CT",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122197",
"telephone_number": "918-250-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363359",
"telephone_number": "918-488-6888",
"fax_number": "918-488-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "CRISTITA",
"middle_name": "CLAUDIO",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.