Active NPI
Christopher Dale Lawrence
- Physical Therapy Assistant
- Carnegie, OK
National Provider Identifier
1386987105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1236
- Practice address
- 4166 County Road 1320
Carnegie, OK 73015-2270 - Phone
- (580) 284-8853
- Fax
- (580) 569-2075
- NPI assigned
- Mar 29, 2013
- Last updated
- Mar 29, 2013
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 1236 | OK | Primary |
Addresses
Primary practice location
4166 County Road 1320
Carnegie, OK 73015-2270
Mailing address
4166 County Road 1320
Carnegie, OK 73015-2270
Phone (580) 284-8853
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 |
|---|---|---|---|
| 1236 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CL Therapy Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Carnegie, OK
- NPI 1245672591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1386987105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4166 COUNTY ROAD 1320",
"city": "CARNEGIE",
"state": "OK",
"postal_code": "730152270",
"telephone_number": "580-284-8853",
"fax_number": "580-569-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 COUNTY ROAD 1320",
"city": "CARNEGIE",
"state": "OK",
"postal_code": "730152270",
"telephone_number": "580-284-8853",
"fax_number": "580-569-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "CHRISTOPHER",
"middle_name": "DALE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carnegie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.