Individual provider Active NPI

Ashley M Seck, DPT

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1396306635
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4690 Issued in OK
Practice address
3603 E Berkeley St
Broken Arrow, OK 74014-1909
Phone
(903) 790-5100
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 4690 OK Primary

Addresses

Primary practice location

3603 E Berkeley St
Broken Arrow, OK 74014-1909

Mailing address

3603 E Berkeley St
Broken Arrow, OK 74014-1909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002943 OK Practitioner - Physical Therapist in Private Practice 0547618142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creoks Mental Health ServicesGroup PAC ID 0749591469, 39 clinicians

Practice addresses (Care Compare)

4103 S Yale Ave
Tulsa, OK 74135-6002
Phone (918) 495-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4690OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Services CurrentSince Sep 3, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Sep 3, 2023 Accepting new patients
Creoks Mental Health Services Current Accepting new patients
CBH Inc Past Accepting new patients

Locations

4103 S Yale Ave
Tulsa, OK 74135
Phone (405) 275-1844

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

4103 S Yale Ave
Ste C
Tulsa, OK 74135
Phone (918) 465-4110

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1396306635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 E BERKELEY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 E BERKELEY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141909",
            "telephone_number": "903-790-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECK",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.