Active NPI
David Alan Villasenor, PT
- Physical Therapist
- Bartlesville, OK
National Provider Identifier
1497975056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 766
- Practice address
- 3550 E Frank Phillips Blvd
Jane Phillips Physical Medicine Center
Bartlesville, OK 74006-2411 - Phone
- (918) 331-1594
- Fax
- (918) 331-1631
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 766 | OK | Primary |
Addresses
Primary practice location
3550 E Frank Phillips Blvd
Jane Phillips Physical Medicine Center
Bartlesville, OK 74006-2411
Mailing address
1207 May LN
Bartlesville, OK 74006-5628
Phone (918) 333-5145
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497975056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 MAY LN",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740065628",
"telephone_number": "918-333-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 E FRANK PHILLIPS BLVD",
"address_2": "JANE PHILLIPS PHYSICAL MEDICINE CENTER",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062411",
"telephone_number": "918-331-1594",
"fax_number": "918-331-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.