Active NPI
Tulsa Public Schools
- Physical Therapy Assistant
- Bixby, OK
National Provider Identifier
1467653428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1388
- Legal business name
- TULSA PUBLIC SCHOOLS
- Practice address
- 18321 S 131St East Ave
Bixby, OK 74008-7760 - Phone
- (918) 366-8211
- Fax
- (918) 366-8213
- NPI assigned
- May 29, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelly Ann Brown, LICENS
- Title
- Physical Therapist Assistant
- Phone
- (918) 746-6114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1388 | OK | Primary |
Addresses
Primary practice location
18321 S 131St East Ave
Bixby, OK 74008-7760
Mailing address
18321 S 131St East Ave
Bixby, OK 74008-7760
Phone (918) 366-8211
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467653428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18321 S 131ST EAST AVE",
"city": "BIXBY",
"state": "OK",
"postal_code": "740087760",
"telephone_number": "918-366-8211",
"fax_number": "918-366-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 S 131ST EAST AVE",
"city": "BIXBY",
"state": "OK",
"postal_code": "740087760",
"telephone_number": "918-366-8211",
"fax_number": "918-366-8213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULSA PUBLIC SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SHELLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
"authorized_official_telephone_number": "918-746-6114",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LICENS"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bixby, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.