Active NPI
Sittichoti Bunnag, PT
- Physical Therapist
- Norman, OK
National Provider Identifier
1447627062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2151
- Practice address
- 708 24TH Ave NW
Suite 100
Norman, OK 73069-6232 - Phone
- (405) 321-5969
- Fax
- (405) 321-5967
- NPI assigned
- Aug 31, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2151 | OK | Primary |
Addresses
Primary practice location
708 24TH Ave NW
Suite 100
Norman, OK 73069-6232
Mailing address
700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-1122
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 |
|---|---|---|---|
| 2151 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1447627062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NW 7TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021212",
"telephone_number": "405-609-1122",
"fax_number": "800-506-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 24TH AVE NW",
"address_2": "SUITE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696232",
"telephone_number": "405-321-5969",
"fax_number": "405-321-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNNAG",
"first_name": "SITTICHOTI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.