Individual provider Active NPI

Joe A. Ogle, PT

  • Orthopedic Physical Therapist
  • Stillwater, OK
National Provider Identifier
1659355493
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1838 Issued in OK
Practice address
511 Windsor Dr
Stillwater, OK 74074-6962
Phone
(405) 707-0900
Fax
(405) 707-3363
NPI assigned
Dec 5, 2005
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1838 OK Primary

Addresses

Primary practice location

511 Windsor Dr
Stillwater, OK 74074-6962

Mailing address

511 Windsor Dr
Stillwater, OK 74074-6962
Phone (405) 707-0900

Other identifiers 1

IdentifierTypeStateIssuer
200036210AMedicaidOK

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1838OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Orthopaedic Clinic Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joe.ogle.p1@direct.smc.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1659355493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WINDSOR DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746962",
            "telephone_number": "405-707-0900",
            "fax_number": "405-707-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WINDSOR DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746962",
            "telephone_number": "405-707-0900",
            "fax_number": "405-707-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "JOE",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "1838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200036210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.