Organization Active NPI

Inclusive Physical Therapy, Wellness, & Pelvic Health, PLLC

  • Physical Therapy Clinic/Center
  • Woodward, OK
National Provider Identifier
1578288064
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INCLUSIVE PHYSICAL THERAPY, WELLNESS, & PELVIC HEALTH, PLLC
Practice address
1011 Texas St
Woodward, OK 73801-3127
Phone
(580) 205-2035
Fax
(580) 205-2038
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. Michelle Johnson, DPTNPI 1134461494
Title
Owner/Operator/Physical Therapist
Phone
(918) 939-9027

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1011 Texas St
Woodward, OK 73801-3127

Mailing address

1011 Texas St
Woodward, OK 73801-3127
Phone (580) 205-2035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221219002475 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769851484 Receives reassigned benefits from 1 practitioner
Practice locations: Woodward, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1578288064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TEXAS ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013127",
            "telephone_number": "580-205-2035",
            "fax_number": "580-205-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TEXAS ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013127",
            "telephone_number": "580-205-2035",
            "fax_number": "580-205-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE PHYSICAL THERAPY, WELLNESS, & PELVIC HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-939-9027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.