Organization Active NPI

Grayson Starbuck, DPT, PLLC

Doing business as Kinito Physical Therapy

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1396334082
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GRAYSON STARBUCK, DPT, PLLC
Doing business as
Kinito Physical Therapy
Practice address
11900 N Macarthur Blvd # F7
Oklahoma City, OK 73162-1801
Phone
(405) 633-0783
Fax
(405) 896-8414
NPI assigned
Jan 16, 2021
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Grayson Neal Starbuck, DPTNPI 1285006189
Title
Owner
Phone
(405) 633-0783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

11900 N Macarthur Blvd # F7
Oklahoma City, OK 73162-1801

Mailing address

11900 N Macarthur Blvd # F7
Oklahoma City, OK 73162-1801
Phone (405) 633-0783

Other names 1

  • Kinito Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210507000160 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971912767 Receives reassigned benefits from 7 practitioners
Practice locations: Oklahoma City, OK; Norman, OK

National Provider Directory

National Provider Directory

Locations

5742 Huettner Dr
O2Wf
Norman, OK 73069

5742 Huettner Dr
O2Wf
Norman, OK 73069
Phone (405) 633-0783

11900 N MacArthur Blvd
#F7
Oklahoma City, OK 73162
Phone (405) 633-0783

11901 N MacArthur Blvd
Ste E1
Oklahoma City, OK 73162
Phone (405) 633-0783

7801 N Robinson Ave
Bldg J3
Oklahoma City, OK 73116
Phone (405) 633-0783

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1396334082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 N MACARTHUR BLVD # F7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621801",
            "telephone_number": "405-633-0783",
            "fax_number": "405-896-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N MACARTHUR BLVD # F7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621801",
            "telephone_number": "405-633-0783",
            "fax_number": "405-896-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON STARBUCK, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "STARBUCK",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-633-0783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinito Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.