Panhandle Physical Therapy & Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PANHANDLE PHYSICAL THERAPY & WELLNESS, LLC

Doing business as

Physical Therapy on the Move

Practice address

122 E Glaydas Ave
Hooker, OK 73945-7394

Phone

(580) 652-1111

Fax

(580) 652-1111

NPI assigned

Aug 21, 2014

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Beau Rapp, DPTNPI 1396935201

Title

Physical Therapist

Phone

(918) 346-0107

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Physical Therapy on the Move Doing business as

Medicare fee-for-service enrollment

Enrolled in OK, KS2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Jeremy Beau Rapp, MPT

  • Physical Therapist
  • Hooker, OK
  • NPI 1396935201

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• Blanca Delatorre, DPT

  • Physical Therapist
  • Liberal, KS
  • NPI 1578390589
  Medicare reassignment Care Compare group NPD
• Cammi Rodkey, PTA

  • Physical Therapy Assistant
  • Hooker, OK
  • NPI 1073456901
  NPD (past)
• Melissa Schmidt, PTA

  • Physical Therapy Assistant
  • Hooker, OK
  • NPI 1073106605
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1497154876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S. BROADWAY",
            "city": "HOOKER",
            "state": "OK",
            "postal_code": "73945",
            "telephone_number": "580-652-1111",
            "fax_number": "580-652-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E GLAYDAS AVE",
            "city": "HOOKER",
            "state": "OK",
            "postal_code": "739457394",
            "telephone_number": "580-652-1111",
            "fax_number": "580-652-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1452 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012212",
            "country_code": "US",
            "telephone_number": "620-624-2980",
            "fax_number": "620-624-2985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PANHANDLE PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BEAU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-346-0107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118240A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OK400025",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy on the Move",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy on the Move",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Hooker (Hooker Municipal Ambulance Service)
• Healthcarefinal
• Hooker Medical Clinic, LLC
• Memorial Hospital of Texas County Authority (High Plains Clinic of Hooker)
• Panhandle Counseling & Health Center Inc
• Kerri Parker, APRN-CNP
• Jerry Lee Perkins, D.D.S.
• Jeremy Beau Rapp, MPT
• Sheney Redmond
• Elaine Ridge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.