Individual provider Active NPI

Valerie Lynn Santiago, PTA

  • Physical Medicine & Rehabilitation Physician
  • Tulsa, OK
National Provider Identifier
1467046474
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3268 Issued in OK
Practice address
8165 S Mingo Rd Ste 101
Tulsa, OK 74133-4667
Phone
(918) 615-6280
Fax
(918) 615-6240
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3268 OK Primary

Addresses

Primary practice location

8165 S Mingo Rd Ste 101
Tulsa, OK 74133-4667

Mailing address

8165 S Mingo Rd Ste 101
Tulsa, OK 74133-4667
Phone (918) 615-6280

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
3268OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehabilitation Center on Mingo LLC CurrentSince Mar 4, 2021 Accepting new patients
Physical Therapy Specialists of Tulsa LLC CurrentSince Mar 4, 2021 Accepting new patients

Locations

8165 S Mingo Rd
Ste 101
Tulsa, OK 74133
Phone (918) 615-6280

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1467046474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-615-6280",
            "fax_number": "918-615-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-615-6280",
            "fax_number": "918-615-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "3268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.