Kyle Womack, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

4951 Issued in OK

Practice address

1501 N Broadway Ave
Oklahoma City, OK 73103-4609

Phone

(405) 633-0193

NPI assigned

Jun 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Muv Okc, LLC

  • Sports Physical Therapist
  • Oklahoma City, OK
  • NPI 1073189635

  Single Specialty

  NPD Authorized official
• Elam Sports, Inc.

  • Physical Therapist
  • Pearl City, HI
  • NPI 1770512048

  Single Specialty

  NPD (past)
• Warfighter'S Clinic

  • Pain Medicine Physician
  • Kapolei, HI
  • NPI 1003357765
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1487036844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 SW 18TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731087217",
            "telephone_number": "405-641-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BROADWAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731034609",
            "telephone_number": "405-633-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5-2841 Kuhio Hwy",
            "address_purpose": "LOCATION",
            "city": "Kilauea",
            "state": "HI",
            "postal_code": "96754",
            "country_code": "US",
            "telephone_number": "808-664-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4031 Halau St Unit 1&2",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "96766",
            "country_code": "US",
            "telephone_number": "808-664-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-04-30",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4020",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "OK",
            "license": "4951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan L Womack, O.D.
• Celine Womack, ARNP
• Charles Erwin Womack, M.D.
• Dawn Cerise Womack, ARNP
• James Michael Womack, D.D.S.
• Terry Womack
• Kerstin Womacks, CRNA
• Womancare of Oklahoma PC
• David Robert Womble, D.D.S.
• Women'S Care Oklahoma, LLC

• Sports Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Sports Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.