Ignite Potential Physical Therapy and Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IGNITE POTENTIAL PHYSICAL THERAPY AND WELLNESS PLLC

Doing business as

Ignite Potential PT & Wellness

Practice address

617 E Fort Worth PL
Broken Arrow, OK 74012-4316

Phone

(918) 883-2887

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Kirby Capps, DPTNPI 1063010478

Title

Physical Therapist

Phone

(918) 883-2887

Specialties & licenses 1

Addresses

Other names 1

• Ignite Potential PT & Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirby Jo Capps, PT, DPT

  • Physical Therapist
  • Muskogee, OK
  • NPI 1063010478
  NPD Authorized official

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1659168193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E FORT WORTH PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124316",
            "telephone_number": "918-883-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E FORT WORTH PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124316",
            "telephone_number": "918-883-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE POTENTIAL PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-20",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-883-2887",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ignite Potential PT & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lindsey Ince, MS, RD/LD
• Independence Technologies
• Individual and Family Matters LLC.

• Physical Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.