Individual provider Active NPI

Erica Driskill

  • Physical Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1457713752
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2592 Issued in OK
Practice address
5617 SE 67TH St
Oklahoma City, OK 73135-1725
Phone
(405) 455-7860
Fax
(405) 455-7865
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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 2592 OK Primary

Addresses

Primary practice location

5617 SE 67TH St
Oklahoma City, OK 73135-1725

Mailing address

5617 SE 67TH St
Oklahoma City, OK 73135-1725
Phone (405) 455-7860

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
2592OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworx Physical Therapy, PLLC PastSince Dec 13, 2016 Accepting new patients

Organizations & group practices 1

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1457713752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 SE 67TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351725",
            "telephone_number": "405-455-7860",
            "fax_number": "405-455-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 SE 67TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351725",
            "telephone_number": "405-455-7860",
            "fax_number": "405-455-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2592",
            "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 Mar 25, 2016; 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.