Individual provider Active NPI

Timothy Cole

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1518974765
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3735 Issued in OK
Practice address
7877 S Sheridan Rd
Tulsa, OK 74133-3456
Phone
(918) 492-1618
Fax
(918) 492-1813
NPI assigned
Aug 1, 2006
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3735 OK Primary

Addresses

Primary practice location

7877 S Sheridan Rd
Tulsa, OK 74133-3456

Mailing address

7877 S Sheridan Rd
Tulsa, OK 74133-3456
Phone (918) 492-1618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000220 OK Practitioner - Chiropractic 8527004407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Integrated Physical Health, LLCGroup PAC ID 5092956888, 3 clinicians

Practice addresses (Care Compare)

4564 S Harvard Ave
Suite B
Tulsa, OK 74135-2918
Phone (918) 508-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3735OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Health LLC Chiropractor CurrentSince Apr 1, 2011 Accepting new patients

Locations

4564 S Harvard Ave
Ste B
Tulsa, OK 74135
Phone (918) 508-2220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1518974765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333456",
            "telephone_number": "918-492-1618",
            "fax_number": "918-492-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333456",
            "telephone_number": "918-492-1618",
            "fax_number": "918-492-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.