Eddie Traylor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2098 Issued in OK

Practice address

115 E Broadway St
Drumright, OK 74030-3801

Phone

(918) 352-3838

Fax

(918) 352-2844

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Country Physical Therapy Inc

  • Physical Therapist
  • Drumright, OK
  • NPI 1518068600
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1639268238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BROADWAY ST",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740303801",
            "telephone_number": "918-352-3838",
            "fax_number": "918-352-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BROADWAY ST",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740303801",
            "telephone_number": "918-352-3838",
            "fax_number": "918-352-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "EDDIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Scroggins
• Erin M Sexson, DDS
• Christopher Michael Smith
• Donna H. Sylvester, P.T.
• Team Clinics Ah LLC
• Erin Judith Trippy, ARNP
• Kelley Woods, APRN

• Physical Therapist in Drumright, OK
• Providers in Drumright, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.