MTP Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3775 Issued in OK

Legal business name

MTP CHIROPRACTIC LLC

Practice address

1991 Tower Dr
Suite G
Moore, OK 73160-2388

Phone

(405) 735-8282

Fax

(405) 735-8262

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mollie Pertree, DCNPI 1902827066

Title

Owner/Chiropractor

Phone

(405) 735-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Generations Chiropractic Doing business as
• Thrive Chiropractic Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mollie Ann Pertree, D.C.

  • Chiropractor
  • Moore, OK
  • NPI 1902827066
  Medicare reassignment NPD Authorized official
• Raymond Chad Yeager, DC

  • Chiropractor
  • Moore, OK
  • NPI 1528219847
  Medicare reassignment NPD

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1447640479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 TOWER DR",
            "address_2": "SUITE G",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602388",
            "telephone_number": "405-735-8282",
            "fax_number": "405-735-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 TOWER DR",
            "address_2": "SUITE G",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602388",
            "telephone_number": "405-735-8282",
            "fax_number": "405-735-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "PERTREE",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "405-735-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1902827066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Generations Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott E Morris, DPM
• Sharra Jan Morris, LPC
• Shawn Jean Morris, NP
• Jacqueline Denise Moss
• Eno Mowarin, MS, LPC
• Lindsey Claire Muecke, LPC-CANDIDATE
• Elizabeth Mugisha, LPC CANDIDATE
• Joshua James Mundell, DMD
• Kevin Thomas Muns
• Heather Michelle Murphy, LPC

• Chiropractor in Moore, OK
• Providers in Moore, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.