Active NPI
Talor Dee Fulps, DPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1558890681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5340
- Practice address
- 2488 E 81St St Ste 290
Tulsa, OK 74137-4265 - Phone
- (918) 494-2665
- Fax
- (918) 927-3193
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 5340 | OK | Primary |
Addresses
Primary practice location
2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Mailing address
2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone (918) 927-3226
Other practice location 1
6475 S Yale Ave Ste 301
Tulsa, OK 74136
Phone (918) 494-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200727680A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5340 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612656000000",
"number": "1558890681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 E 81ST ST STE 290",
"city": "TULSA",
"state": "OK",
"postal_code": "741374265",
"telephone_number": "918-927-3226",
"fax_number": "918-927-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 E 81ST ST STE 290",
"city": "TULSA",
"state": "OK",
"postal_code": "741374265",
"telephone_number": "918-494-2665",
"fax_number": "918-927-3193"
}
],
"practiceLocations": [
{
"address_1": "6475 S Yale Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74136",
"country_code": "US",
"telephone_number": "918-494-2665",
"fax_number": "918-927-3193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULPS",
"first_name": "TALOR",
"middle_name": "DEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200727680A",
"state": "OK"
}
],
"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 Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.