Active NPI
Stacy Marie Biddle, PT
- Physical Therapist
- Owasso, OK
National Provider Identifier
1659423176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4535
- Practice address
- 10229 E 96TH St N
Suite 102
Owasso, OK 74055-5305 - Phone
- (918) 274-8541
- Fax
- (918) 274-8560
- NPI assigned
- Jan 17, 2007
- Last updated
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7501 | AZ | |
| Physical Therapist | 225100000X | 4535 | OK | Primary |
Addresses
Primary practice location
10229 E 96TH St N
Suite 102
Owasso, OK 74055-5305
Mailing address
10229 E 96TH St N
Suite 102
Owasso, OK 74055-5305
Phone (918) 274-8541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179814 | Medicaid | AZ |
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 |
|---|---|---|---|
| 7501 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrow Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
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.
-
dba Broken Arrow Physical Therapy
- Physical Therapy Clinic/Center
- Broken Arrow, OK
- NPI 1114933561
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1659423176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10229 E 96TH ST N",
"address_2": "SUITE 102",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555305",
"telephone_number": "918-274-8541",
"fax_number": "918-274-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10229 E 96TH ST N",
"address_2": "SUITE 102",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555305",
"telephone_number": "918-274-8541",
"fax_number": "918-274-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDDLE",
"first_name": "STACY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7501",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179814",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.