Active NPI
Peggy Owens, P.T., M.P.H.
- Physical Therapist
- Edmond, OK
National Provider Identifier
1518235035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 607
- Practice address
- 17200 N May Ave
Suite 200
Edmond, OK 73012-9031 - Phone
- (405) 541-1078
- Fax
- (405) 216-3380
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 607 | OK | Primary |
Addresses
Primary practice location
17200 N May Ave
Suite 200
Edmond, OK 73012-9031
Mailing address
17200 N May Ave
Suite 200
Edmond, OK 73012-9031
Phone (405) 541-1078
Other names 1
- Ms. Peggy Pidkowicz
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 |
|---|---|---|---|
| 607 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Health, PLLC | Physical Therapist | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1518235035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17200 N MAY AVE",
"address_2": "SUITE 200",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129031",
"telephone_number": "405-541-1078",
"fax_number": "405-216-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 N MAY AVE",
"address_2": "SUITE 200",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129031",
"telephone_number": "405-541-1078",
"fax_number": "405-216-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "PEGGY",
"name_prefix": "Ms.",
"credential": "P.T., M.P.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "PIDKOWICZ",
"prefix": "MS.",
"credential": "P.T., M.P.H.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.