Individual provider Active NPI

Loren McElroy

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1558772640
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5203 Issued in OK
Practice address
8536 SW 36TH St
Oklahoma City, OK 73179-3017
Phone
(405) 627-4638
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9956 TN
Physical Therapist 225100000X 5203 OK Primary

Addresses

Primary practice location

8536 SW 36TH St
Oklahoma City, OK 73179-3017

Mailing address

8536 SW 36TH St
Oklahoma City, OK 73179-3017
Phone (405) 627-4638

Other practice location 1

5073 Main St
Suite 120
Spring Hill, TN 37174-2737
Phone (615) 302-3564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901000657 OK Practitioner - Physical Therapist in Private Practice 2264658483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9956TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Starbuck Medical LLC CurrentSince Oct 10, 2021 Accepting new patients
Grayson Starbuck, DPT, PLLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

11900 N MacArthur Blvd
Ste F7
Oklahoma City, OK 73162
Phone (405) 633-0783

7801 N Robinson Ave
Bldg J3
Oklahoma City, OK 73116
Phone (405) 633-0783

Organizations & group practices 2

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1558772640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 SW 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731793017",
            "telephone_number": "405-627-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 SW 36TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731793017",
            "telephone_number": "405-627-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5073 Main St",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371742737",
            "country_code": "US",
            "telephone_number": "615-302-3564",
            "fax_number": "615-302-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "LOREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9956",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5203",
            "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 Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.