Organization Active NPI

Green Country Physical Therapy Inc

  • Physical Therapist
  • Drumright, OK
National Provider Identifier
1518068600
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1980 Issued in OK
Legal business name
GREEN COUNTRY PHYSICAL THERAPY INC
Practice address
115 E Broadway St
Drumright, OK 74030-3801
Phone
(918) 352-3838
Fax
(918) 352-2844
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Anthony Josephy Sylvester, PTNPI 1942217039
Title
Owner
Phone
(918) 352-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1980 OK Primary

Addresses

Primary practice location

115 E Broadway St
Drumright, OK 74030-3801

Mailing address

115 E Broadway St
Drumright, OK 74030-3801
Phone (918) 352-3838

Other identifiers 1

IdentifierTypeStateIssuer
100744020AMedicaidOK

National Provider Directory

National Provider Directory

Locations

115 E Broadway St
Drumright, OK 74030
Phone (918) 352-3838

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1518068600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BROADWAY ST",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740303801",
            "telephone_number": "918-352-3838",
            "fax_number": "918-352-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BROADWAY ST",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740303801",
            "telephone_number": "918-352-3838",
            "fax_number": "918-352-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-352-3838",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744020A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drumright, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.