Active NPI
Bonnie Gilsdorf, PT
- Physical Therapist
- Bethany, OK
National Provider Identifier
1518513910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5723
- Practice address
- 8006 NW 39TH Expy
Bethany, OK 73008-3005 - Phone
- (405) 603-5222
- NPI assigned
- Aug 13, 2019
- 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 | 5723 | OK | Primary |
Addresses
Primary practice location
8006 NW 39TH Expy
Bethany, OK 73008-3005
Mailing address
4008 S Yale Ave
Tulsa, OK 74135-6017
Phone (918) 622-4126
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 |
|---|---|---|---|
| 5723 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1518513910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741356017",
"telephone_number": "918-622-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8006 NW 39TH EXPY",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083005",
"telephone_number": "405-603-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSDORF",
"first_name": "BONNIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.