Active NPI
Cheyenne Buckner, ATC, LAT
- Physical Therapist
- El Reno, OK
National Provider Identifier
1427557339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6348
- Practice address
- 1609 W Elm St
El Reno, OK 73036-4261 - Phone
- (405) 467-6782
- NPI assigned
- Feb 6, 2018
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 6348 | OK | |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 6348 | OK | Primary |
| Athletic Trainer | 2255A2300X | 1022 | OK |
Addresses
Primary practice location
1609 W Elm St
El Reno, OK 73036-4261
Mailing address
1609 W Elm St
El Reno, OK 73036-4261
Phone (405) 467-6782
Other names 1
- Cheyenne Sheets
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022 | OK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehab, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
dba Oklahoma Pediatric Therapy Center
- Rehabilitation Clinic/Center
- Yukon, OK
- NPI 1497178156
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1427557339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 W ELM ST",
"city": "EL RENO",
"state": "OK",
"postal_code": "730364261",
"telephone_number": "405-467-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 W ELM ST",
"city": "EL RENO",
"state": "OK",
"postal_code": "730364261",
"telephone_number": "405-467-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "CHEYENNE",
"name_prefix": "Mrs.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2024-09-19",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "OK",
"license": "6348",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6348",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "1022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHEYENNE",
"last_name": "SHEETS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.