NPIMap

Organization Active NPI

Physical Therapy Inc

  • Physical Therapist
  • Poteau, OK
National Provider Identifier
1568412708
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY INC
Practice address
1932 N Broadway
Poteau, OK 74953
Phone
(918) 649-0799
Fax
(918) 649-0797
NPI assigned
May 10, 2006
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mrs. Audria Jean Marie Baxter, PTANPI 1780717405
Title
Owner
Phone
(918) 649-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1932 N Broadway
Poteau, OK 74953

Mailing address

1932 N Broadway
Poteau, OK 74953
Phone (918) 649-0799

Other identifiers 2

IdentifierTypeStateIssuer
DD4017OtherOKRR MEDICARE
200006850AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1932 N Broadway St
Poteau, OK 74953
Phone (918) 649-0799

2104 N Broadway St
Unit B
Poteau, OK 74953
Phone (918) 647-0670

215 W Main St
Wilburton, OK 74578
Phone (918) 465-1200

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1568412708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 N BROADWAY",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-649-0799",
            "fax_number": "918-649-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 N BROADWAY",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "74953",
            "telephone_number": "918-649-0799",
            "fax_number": "918-649-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "AUDRIA",
        "authorized_official_middle_name": "JEAN MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-649-0799",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD4017",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.