Courtney Merle Dewbre, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

4555 Issued in OK

Practice address

908 N Rockford Rd
Suite C
Ardmore, OK 73401-2540

Phone

(580) 490-3318

Fax

(580) 490-3312

NPI assigned

May 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Injury Treatment Services PLLC

  • General Practice Physician
  • Temple, TX
  • NPI 1811325954
  Medicare reassignment NPD
• Cornelson Physical Therapy

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1831716968
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1447578273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-490-3318",
            "fax_number": "580-490-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD",
            "address_2": "SUITE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012540",
            "telephone_number": "580-490-3318",
            "fax_number": "580-490-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWBRE",
        "first_name": "COURTNEY",
        "middle_name": "MERLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OK",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Delarosa, OTR/L
• Scott Allen Dempewolf, M.D.
• Dental Implant Centre'
• Destiny Recovery Center, Inc.
• Developmental Assessment & Intervention Center
• Dib Chiropractic & Wellness PLLC
• Jennifer Dick
• Dickson Public Schools
• Dawna Kaye Dickson, LPC, LADC
• Kelli K Dighton

• Sports Physical Therapist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Sports Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.