Individual provider Active NPI

Cassiopeia J. Krieger, PT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1609396605
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3795 Issued in OK
Practice address
1201 W. Boyd St.
Norman, OK 73069-4801
Phone
(405) 366-7898
Fax
(405) 366-0010
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 3795 OK Primary

Addresses

Primary practice location

1201 W. Boyd St.
Norman, OK 73069-4801

Mailing address

1201 W. Boyd St.
Norman, OK 73069-4801
Phone (405) 366-7898

Other practice location 1

2533 Walnut Rd
Norman, OK 73072
Phone (405) 990-3392

Other identifiers 1

IdentifierTypeStateIssuer
100644420BMedicaidOK

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3795OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Therafun LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

1201 W Boyd St
Norman, OK 73069
Phone (405) 366-7898

Organizations & group practices 1

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1609396605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W. BOYD ST.",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694801",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W. BOYD ST.",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694801",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2533 Walnut Rd",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73072",
            "country_code": "US",
            "telephone_number": "405-990-3392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "CASSIOPEIA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100644420B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.