Individual provider Active NPI

Benjamin Buchanan

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1427422070
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4944 Issued in OK
Practice address
923 N Robinson Ave
Oklahoma City, OK 73102-5845
Phone
(405) 231-5800
Fax
(405) 231-4200
NPI assigned
Nov 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 4944 OK Primary

Addresses

Primary practice location

923 N Robinson Ave
Oklahoma City, OK 73102-5845

Mailing address

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000128 OK Practitioner - Physical Therapist in Private Practice 8921303017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PTMS 3.0 LLCGroup PAC ID 2365768231, 115 clinicians

Practice addresses (Care Compare)

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Physical Therapist Current Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jan 5, 2016 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jan 5, 2016 Accepting new patients

Locations

201 W Main St
Davis, OK 73030
Phone (580) 369-3900

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

440 Merchant Dr
Ste 200
Norman, OK 73069

10908 N May Ave
#C
Oklahoma City, OK 73120
Phone (405) 297-4500

923 N Robinson Ave
Oklahoma City, OK 73102
Phone (405) 231-5800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1427422070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCHANT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696470",
            "telephone_number": "405-809-8713",
            "fax_number": "405-573-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N ROBINSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025845",
            "telephone_number": "405-231-5800",
            "fax_number": "405-231-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 19, 2015; 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.