Excel Therapy Specialists--Okc LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXCEL THERAPY SPECIALISTS--OKC LLC

Practice address

1742 S 4TH St
Chickasha, OK 73018-5901

Phone

(405) 825-3617

Fax

(405) 825-3618

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Janice L Wagoner

Title

Business Office Manager

Phone

(918) 259-1888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Marc Flanary, PT

  • Physical Therapist
  • Broken Arrow, OK
  • NPI 1609868405
  Medicare reassignment NPD
• Molly Ellen Manuel, DPT

  • Physical Therapist
  • Chickasha, OK
  • NPI 1205870128
  Medicare reassignment NPD
• Michael M Moore, DPT

  • Physical Therapist
  • Tahlequah, OK
  • NPI 1023683760
  Medicare reassignment NPD

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1649643180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234-B W HOUSTON",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185901",
            "telephone_number": "405-825-3617",
            "fax_number": "405-825-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL THERAPY SPECIALISTS--OKC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "918-259-1888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200620300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome Jay Ersland, DPH PHD
• Marian Pilar Escobar, M.D.
• Thomas Essex, D.O.
• Karen S Evanson, M.ED., LPC
• Jillian M Ewen, M.ED., LPC
• Tammy Fincher
• Ross Lane Fisher, MD
• Amiel Latour Fletcher
• Bill Flores
• Foot & Ankle Surgeons of Oklahoma PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.