Active NPI
Anita Gwynne Oakes
- Physical Therapist
- Malone, NY
National Provider Identifier
1467688366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009018
- Practice address
- 355 W Main St
Malone, NY 12953-1827 - Phone
- (518) 569-3118
- Fax
- (518) 483-9378
- NPI assigned
- Jun 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 009018 | NY | Primary |
Addresses
Primary practice location
355 W Main St
Malone, NY 12953-1827
Mailing address
44 Westside Rd
Owls Head, NY 12969-1701
Phone (518) 569-3118
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 |
|---|---|---|---|
| 009018 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1467688366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 WESTSIDE RD",
"city": "OWLS HEAD",
"state": "NY",
"postal_code": "129691701",
"telephone_number": "518-569-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W MAIN ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531827",
"telephone_number": "518-569-3118",
"fax_number": "518-483-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKES",
"first_name": "ANITA",
"middle_name": "GWYNNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-05",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.