Active NPI
Brandon Heath Emerson, PTA
- Physical Therapy Assistant
- Oklahoma City, OK
National Provider Identifier
1649417403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1048
- Practice address
- 6501 N Macarthur Blvd
Oklahoma City, OK 73132-6505 - Phone
- (405) 721-0089
- NPI assigned
- Jan 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1048 | OK | Primary |
Addresses
Primary practice location
6501 N Macarthur Blvd
Oklahoma City, OK 73132-6505
Mailing address
7808 NW 83Rd St
Oklahoma City, OK 73132-3305
Phone (405) 773-0174
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1048 | OK | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1649417403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 NW 83RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323305",
"telephone_number": "405-773-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 N MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731326505",
"telephone_number": "405-721-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "BRANDON",
"middle_name": "HEATH",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
- Emergency Medical Services Authority
- Emergency Physicians of Mid-America, P.C.
- Emergency Physicians of Midwest City L.L.C.
- Emergency Physicians of Midwest City, LLC
- Annie Emerson
- Diana Irene Emerson, PTA
- Jason C Emerson, DO
- Stevie Emerson, B.A.
- Tabitha Grace Emerson
- Emerus Oklahoma Hospitalists PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.