Individual provider Active NPI

Nathan Michel Oaksford, PTA

  • Physical Therapy Assistant
  • Brownwood, TX
National Provider Identifier
1467933390
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2094326 Issued in TX
Practice address
2205 14TH St
Brownwood, TX 76801-8019
Phone
(585) 356-7132
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 292870 NY
Physical Therapy Assistant 225200000X 008635 NY
Physical Therapy Assistant 225200000X 2094326 TX Primary

Addresses

Primary practice location

2205 14TH St
Brownwood, TX 76801-8019

Mailing address

2500 Song Bird Cir
Brownwood, TX 76801-6488
Phone (325) 646-4750

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
292870NYMDLicensed Practical Nurse
008635NYMDPhysical Therapy Assistant
2094326TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1467933390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SONG BIRD CIR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768016488",
            "telephone_number": "325-646-4750",
            "fax_number": "325-643-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 14TH ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018019",
            "telephone_number": "585-356-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKSFORD",
        "first_name": "NATHAN",
        "middle_name": "MICHEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292870",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008635",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2094326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.