Active NPI
Uplift Pelvic Health LLC
- Physical Therapy Clinic/Center
- Edmond, OK
National Provider Identifier
1619704509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- UPLIFT PELVIC HEALTH LLC
- Practice address
- 610 S Kelly Ave Ste D
Edmond, OK 73003-5697 - Phone
- (405) 256-2295
- NPI assigned
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allison Matos, DPT
- Title
- Ceo, Physical Therapist
- Phone
- (918) 720-1757
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
610 S Kelly Ave Ste D
Edmond, OK 73003-5697
Mailing address
1517 Mesa TRL
Edmond, OK 73025-2841
Phone (918) 720-1757
Other practice location 1
1745 NW 16th St Ste A
Oklahoma City, OK 73106-2078
Phone (405) 256-2295
Other names 1
- Uplift Pelvic Health and Strength
National Provider Directory
National Provider DirectoryLocations
610 S Kelly Ave
Ste D
Edmond, OK 73003
Phone (405) 256-2295
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Newcastle, OK
- NPI 1396145538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1619704509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 MESA TRL",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252841",
"telephone_number": "918-720-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S KELLY AVE STE D",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035697",
"telephone_number": "405-256-2295"
}
],
"practiceLocations": [
{
"address_1": "1745 NW 16th St Ste A",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731062078",
"country_code": "US",
"telephone_number": "405-256-2295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UPLIFT PELVIC HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "MATOS",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "CEO, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "918-720-1757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Uplift Pelvic Health and Strength",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.