Jeremy Beau Rapp, MPT
Individual provider Active NPI Physical Therapist · Hooker, OK
NPI 1396935201 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1396935201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 122 E Glaydas
Hooker, OK 73945 - Phone
- (580) 652-1111
- Fax
- (580) 652-1112
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Panhandle Physical Therapy and Wellness, LLC
Practice addresses (Care Compare)
122 E Glaydas St
Physical Therapy on the Move
Hooker, OK 73945-1527
Phone (580) 652-1111
1452 N Western Ave
Liberal, KS 67901-2212
Phone (620) 624-2980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070830000555 | OK | Practitioner - Physical Therapist in Private Practice | 7214020643 | Reassigns benefits to 1 organization |
| I20210707000286 | KS | Practitioner - Physical Therapist in Private Practice | 7214020643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Physical Therapy & Wellness, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1452 N Western Ave
Liberal, KS 67901
Phone (620) 624-2980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
122 E Glaydas
Hooker, OK 73945
Mailing address
122 E Glaydas Ave
Hooker, OK 73945
Phone (580) 652-1111
Other practice location 1
1452 N Western Ave
Liberal, KS 67901-2212
Phone (620) 624-2980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200118240A | Medicaid | OK | |
| OK400025 | Other | OK | MEDICARE PTAN |
Other providers in Hooker, OK
- Memorial Hospital of Texas County Authority
- Panhandle Counseling & Health Center Inc
- Panhandle Physical Therapy & Wellness, LLC
- Kerri Parker
- Jerry Lee Perkins
- Sheney Redmond
- Elaine Ridge
- Cammi Rodkey
- Melissa Schmidt
All providers in Hooker, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.