Joshua Lael Utt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2864 Issued in OK

Practice address

1 S Washington St
Ardmore, OK 73401-7036

Phone

(580) 223-3383

Fax

(580) 223-6696

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Odyssey Health Care Inc.

  • Physical Therapy Clinic/Center
  • Ardmore, OK
  • NPI 1144268285
  NPD (past)
• Odyssey Healthcare Inc

  • Physical Therapy Clinic/Center
  • Ardmore, OK
  • NPI 1265515712
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1467892653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016505",
            "telephone_number": "580-223-3383",
            "fax_number": "580-223-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S WASHINGTON ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017036",
            "telephone_number": "580-223-3383",
            "fax_number": "580-223-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTT",
        "first_name": "JOSHUA",
        "middle_name": "LAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittani Ulrich
• Ultimate Direct Primary Care PLLC
• Armida Untalan Querubin, RPT
• Urgent Care Center of Ardmore Inc
• Urology Center of Southern Oklahoma,PC
• Brooklynn Vaile
• Valcasara Chiropractic LLC
• Lindsay Nicole Vanbuskirk
• Ashlee Vanhuss
• Vascular Associates of Southern Oklahoma

• Physical Therapist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.