Individual provider Active NPI

Coby Wayne Harvey

  • Physical Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1427768175
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1683 Issued in OK
Practice address
2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931
Phone
(405) 355-3239
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1683 OK Primary

Addresses

Primary practice location

2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931

Mailing address

2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931
Phone (405) 355-3239

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

LicenseStateTypeSpecialty
1683OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Behavioral Therapy LLC CurrentSince Oct 6, 2024 Accepting new patients
Bilingual Pediatric Therapies PastSince Aug 1, 2023 Accepting new patients

Locations

2219 SW 74th St
Ste 109115
Oklahoma City, OK 73159
Phone (305) 355-3239

Organizations & group practices 2

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1427768175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SW 74TH ST STE 109-115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593931",
            "telephone_number": "405-355-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SW 74TH ST STE 109-115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593931",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "COBY",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1683",
            "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 Dec 5, 2022; 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.