Durant Physical Therapy & Aquatic Center

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1340 Issued in OK

Legal business name

DURANT PHYSICAL THERAPY & AQUATIC CENTER

Practice address

1004 N 19TH Ave BLDG 4
Durant, OK 74701-3017

Phone

(580) 920-2231

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Alyssa Allene Jones, PTA

Title

Physical Therapy Assistant

Phone

(580) 920-2231

Specialties & licenses 1

Addresses

Tax ID family

Durant Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Durant Physical Therapy Inc, PC

  • Physical Therapist
  • Durant, OK
  • NPI 1780754705
  NPD tax ID
• Durant Physical Therapy, Inc

  • Physical Therapist
  • Durant, OK
  • NPI 1477705879
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Neil Harper, PT

  • Physical Therapist
  • Durant, OK
  • NPI 1841292844
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417080888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N 19TH AVE BLDG 4",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N 19TH AVE BLDG 4",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013017",
            "telephone_number": "580-920-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANT PHYSICAL THERAPY & AQUATIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "ALLENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "580-920-2231",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durant Hma Physician Management, LLC
• Durant Hma Physician Management, LLC
• Durant Hma, Inc.
• Durant Medical Supply, Inc.
• Durant Oak Operating Co., LLC
• Durant Physical Therapy Inc, PC
• Durant Physical Therapy, Inc
• Durant Public Schools
• Kylie Annette Duren
• Farrah Dutton, BS

• Physical Therapy Assistant in Durant, OK
• Providers in Durant, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.