Individual provider Active NPI

Rezelyn Pamaong, PT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1528449063
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1821 Issued in OK
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

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220104002391 WA Practitioner - Physical Therapist in Private Practice 4082005897 Reassigns benefits to 3 organizations

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
NSPT IncGroup PAC ID 5698850295, 26 clinicians

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

OrganizationSpecialtyStatusNew patients
NSPT, Inc. Physical Therapist CurrentSince Dec 31, 2024 Accepting new patients
Mt. Stuart P.T., P.S. Physical Therapist CurrentSince Feb 7, 2023 Accepting new patients
Iroc PS Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
NSPT, Inc. Physical Therapist CurrentSince Dec 31, 2024 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.

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.

Verify at the official NPI Registry.