NPIMap

Organization Active NPI

Human Performance Center 7 PC

  • Community Health Worker
  • Yukon, OK
National Provider Identifier
1477730158
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
2776 Issued in OK
Legal business name
HUMAN PERFORMANCE CENTER 7 PC
Practice address
740 S Mustang Rd
Yukon, OK 73099-6777
Phone
(405) 494-7070
NPI assigned
Jan 25, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Carrie Lynn Walls, P.T.
Title
Owner/Physical Therapist
Phone
(405) 808-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 2776 OK Primary

Addresses

Primary practice location

740 S Mustang Rd
Yukon, OK 73099-6777

Mailing address

740 S Mustang Rd
Yukon, OK 73099-6777
Phone (405) 494-7070

Other identifiers 1

IdentifierTypeStateIssuer
OKB0011OtherOKMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1477730158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996777",
            "telephone_number": "405-494-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996777",
            "telephone_number": "405-494-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE CENTER 7 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-808-0445",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKB0011",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.