Active NPI
Rezelyn Pamaong, PT
- Physical Therapist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1821
- Practice address
- 6510 S. Western
BLDG #400
Oklahoma City, OK 73139-1712 - Phone
- (405) 634-1111
- Fax
- (405) 634-1122
- NPI assigned
- Jun 10, 2015
- 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 | 1821 | OK | Primary |
Addresses
Primary practice location
6510 S. Western
BLDG #400
Oklahoma City, OK 73139-1712
Mailing address
6510 S. Western
BLDG #400
Oklahoma City, OK 73139-1712
Phone (405) 634-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27500 102ND Ave NW
Suite 1
Stanwood, WA 98292-8092
Phone (360) 629-9768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSPT, Inc. | Physical Therapist | Current | Accepting new patients |
| Mt. Stuart P.T., P.S. | Physical Therapist | Current | Accepting new patients |
| Iroc PS | Physical Therapist | Current | Accepting new patients |
| NSPT, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3204 Smokey Point Dr
Ste 103
Arlington, WA 98223
Phone (360) 651-8880
10171 Chumstick Hwy
Ste 1
Leavenworth, WA 98826
Phone (509) 548-3133
27500 102nd Ave NW
Ste 1
Stanwood, WA 98292
Phone (360) 629-7528
Organizations & group practices 4
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
- Leavenworth, WA
- NPI 1295805737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433894400000",
"number": "1528449063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 S. WESTERN",
"address_2": "BLDG #400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731391712",
"telephone_number": "405-634-1111",
"fax_number": "405-634-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 S. WESTERN",
"address_2": "BLDG #400",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731391712",
"telephone_number": "405-634-1111",
"fax_number": "405-634-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMAONG",
"first_name": "REZELYN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2015-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.