Thera-Brand Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THERA-BRAND PHYSICAL THERAPY LLC

Practice address

24051 County Road 80
Perry, OK 73077-9214

Phone

(580) 336-8598

NPI assigned

Sep 22, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Brand, P.T.

Title

Owner

Phone

(580) 336-8598

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1629684972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24051 COUNTY ROAD 80",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730779214",
            "telephone_number": "580-336-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24051 COUNTY ROAD 80",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730779214",
            "telephone_number": "580-336-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-BRAND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-336-8598",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stillwater Medical Center Authority (Perry Memorial Hospital Home Health)
• Stillwater Medical Center Authority (Community Medical Clinic)
• Michelle Lee Taylor
• Elizabeth Teeman-Hall
• Jeffrey Scott Terry, PHARM.D.
• Tori Michelle Thompson
• Katherine C Treiner
• Floyd Scott Villines, D.C.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1278)
• Sherri Renee Walls

• Physical Therapy Clinic/Center in Perry, OK
• Providers in Perry, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.