Active NPI
Andrew Sena Nfodjo, DPT
- Physical Therapist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 124657
- Practice address
- 2488 E 81St St Ste 290
Tulsa, OK 74137-4299 - Phone
- (918) 494-2665
- Fax
- (918) 927-3201
- NPI assigned
- Aug 5, 2019
- Last updated
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1301719 | TX | |
| Physical Therapist | 225100000X | 124657 | OK | Primary |
Addresses
Primary practice location
2488 E 81St St Ste 290
Tulsa, OK 74137-4299
Mailing address
2488 E 81St St Ste 290
Tulsa, OK 74137-4299
Phone (918) 494-2665
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Indefax.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7690 E 126TH St S
Suite 101
Bixby, OK 74008-2576
Phone (918) 394-2770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124657 | OK | MD | Physical Therapist |
| 1301719 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics of Oklahoma PLLC | Physical Therapist | Current | Accepting new patients |
| Advanced Orthopedics of Oklahoma PLLC | Physical Therapist | Current | Accepting new patients |
| Redbud Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Redbud Physical Therapy LLC | Current | Accepting new patients |
Locations
7690 E 126th St S
Ste 101
Bixby, OK 74008
Phone (918) 394-2770
1118 S Main St
Grove, OK 74344
Phone (918) 786-9883
205 E B St
Jenks, OK 74037
Phone (918) 299-4411
2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665
4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGJHAD
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.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1235676453
Physical Therapist
-
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1710437306
Physical Therapist
-
dba Advanced Orthopedics of Oklahoma
- Orthopaedic Surgery Physician
- Owasso, OK
- NPI 1104663996
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Skiatook, OK
- NPI 1730831868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1417502790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 E 81ST ST STE 290",
"city": "TULSA",
"state": "OK",
"postal_code": "741374299",
"telephone_number": "918-494-2665",
"fax_number": "918-927-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 E 81ST ST STE 290",
"city": "TULSA",
"state": "OK",
"postal_code": "741374299",
"telephone_number": "918-494-2665",
"fax_number": "918-927-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NFODJO",
"first_name": "ANDREW",
"middle_name": "SENA",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1301719",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "124657",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Indefax.com",
"affiliation": "N",
"address_1": "2901 Acme Brick Plz",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761094124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.