Active NPI
Shirley Jean Breedlove
- Physical Therapist
- Eufaula, OK
National Provider Identifier
1508083932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1093
- Practice address
- 49 E Foley St
Eufaula, OK 74432-3019 - Phone
- (918) 618-6874
- Fax
- (918) 618-6868
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 | 1093 | OK | Primary |
Addresses
Primary practice location
49 E Foley St
Eufaula, OK 74432-3019
Mailing address
49 E Foley St
PO Box 937
Eufaula, OK 74432-3019
Phone (918) 618-6874
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Management Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Eufaula, OK
- NPI 1881780989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508083932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 E FOLEY ST",
"address_2": "PO BOX 937",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323019",
"telephone_number": "918-618-6874",
"fax_number": "918-618-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 E FOLEY ST",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323019",
"telephone_number": "918-618-6874",
"fax_number": "918-618-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDLOVE",
"first_name": "SHIRLEY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eufaula, 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.