Individual provider Active NPI

Jim Reeves

  • Physical Therapist
  • Bartlesville, OK
National Provider Identifier
1396967576
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2780 Issued in OK
Practice address
3550 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone
(918) 331-1594
NPI assigned
May 3, 2007
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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 2780 OK Primary

Addresses

Primary practice location

3550 E Frank Phillips Blvd
Bartlesville, OK 74006-2411

Mailing address

1223 Swan Dr
Bartlesville, OK 74006-5037
Phone (918) 336-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001974 OK Practitioner - Physical Therapist in Private Practice 1759784671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County Elder Care IncGroup PAC ID 9830129097, 6 clinicians

Practice addresses (Care Compare)

1223 Swan Dr
Bartlesville, OK 74006-5037
Phone 9183368500115

Merit-based Incentive Payment System (MIPS)

Final score
25.71 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2780OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Elder Care, Inc Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

1223 Swan Dr
Bartlesville, OK 74006
Phone (918) 214-8081

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1396967576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 SWAN DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065037",
            "telephone_number": "918-336-8500",
            "fax_number": "918-336-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 E FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062411",
            "telephone_number": "918-331-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.