Active NPI
Alex Kurian, PTA
- Physical Therapy Assistant
- Edmond, OK
National Provider Identifier
1447982004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3145
- Practice address
- 13801 N Western Ave
Edmond, OK 73013-1797 - Phone
- (405) 946-7300
- NPI assigned
- Jun 30, 2022
- 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 Therapy Assistant | 225200000X | 3145 | OK | Primary |
Addresses
Primary practice location
13801 N Western Ave
Edmond, OK 73013-1797
Mailing address
13801 N Western Ave
Edmond, OK 73013-1797
Other practice location 1
740 S Mustang Rd
Yukon, OK 73099-6777
Phone (405) 494-7070
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 |
|---|---|---|---|
| 3145 | OK | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance Center 7 PC | Past | Accepting new patients | |
| HPC Holdings LLC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1396262234
-
- Community Health Worker
- Yukon, OK
- NPI 1477730158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1447982004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 N WESTERN AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 N WESTERN AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131797",
"telephone_number": "405-946-7300"
}
],
"practiceLocations": [
{
"address_1": "740 S Mustang Rd",
"address_purpose": "LOCATION",
"city": "Yukon",
"state": "OK",
"postal_code": "730996777",
"country_code": "US",
"telephone_number": "405-494-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURIAN",
"first_name": "ALEX",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "3145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.