Mainstream Physical Therapy L.L.C.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

MAINSTREAM PHYSICAL THERAPY L.L.C.

Practice address

30352 S VFW Rd
Stigler, OK 74462-3606

Phone

(918) 967-3547

Fax

(918) 967-3547

NPI assigned

Dec 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Sidney Joseph Gatzman, RPT

Title

RPT

Phone

(918) 967-3547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1649549056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30352 S VFW RD",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744623606",
            "telephone_number": "918-967-3547",
            "fax_number": "918-967-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30352 S VFW RD",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744623606",
            "telephone_number": "918-967-3547",
            "fax_number": "918-967-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM PHYSICAL THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "GATZMAN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "RPT",
        "authorized_official_telephone_number": "918-967-3547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Linn
• Whitney Michelle Long
• Elisha Lovell
• Kristina Lyons, APRN
• Kristy Devan Maddox, BA
• Riley Baxter Marlar
• Traci Marlatt, LCSW
• Jennifer Ann Martin, PHARMD
• Tahletha Martin
• Brooke Ashton Mattison

• Orthopedic Physical Therapist in Stigler, OK
• Providers in Stigler, OK by specialty
• Orthopedic Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.