Individual provider Active NPI

Esmeralda Angeles, DPT

  • Physical Therapist
  • Choctaw, OK
National Provider Identifier
1558037945
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6070 Issued in OK
Practice address
14890 SE 29TH St
Choctaw, OK 73020-3515
Phone
(405) 390-1731
NPI assigned
Aug 17, 2021
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 6070 OK Primary

Addresses

Primary practice location

14890 SE 29TH St
Choctaw, OK 73020-3515

Mailing address

6001 N Quapah Ave
Oklahoma City, OK 73112-1430
Phone (405) 764-5267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923000644 OK Practitioner - Physical Therapist in Private Practice 0143627851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PTMS 3.0 LLCGroup PAC ID 2365768231, 115 clinicians

Practice addresses (Care Compare)

14890 SE 29TH St
Choctaw, OK 73020-3515
Phone (405) 390-1731

Merit-based Incentive Payment System (MIPS)

Final score
71.02 of 100Reported as individual
Quality
70
Improvement activities
40
Cost
58.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 26, 2024 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Sep 16, 2021 Accepting new patients
PTMS 3.0, LLC Physical Therapist Current Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Sep 16, 2021 Accepting new patients

Locations

14890 SE 29th St
Choctaw, OK 73020
Phone (405) 390-1731

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

3030 NW Expressway St
Ste 300
Oklahoma City, OK 73112
Phone (405) 326-7287

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, 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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1558037945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 N QUAPAH AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121430",
            "telephone_number": "405-764-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14890 SE 29TH ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730203515",
            "telephone_number": "405-390-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "ESMERALDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.