Active NPI
Beverly Hasson, P.T.
- Physical Therapist
- Tahlequah, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4794
- Practice address
- 2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795 - Phone
- (918) 485-5115
- Fax
- (918) 458-5119
- NPI assigned
- Jun 2, 2015
- Last updated
- Oct 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4794 | OK | Primary |
Addresses
Primary practice location
2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Mailing address
PO Box 721018
Norman, OK 73070-4786
Phone (405) 809-8713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 Mahaney Ave
Suite 6
Tahlequah, OK 74464-5795
Phone (918) 458-5115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4794 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redbud Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Redbud Physical Therapy LLC | Current | Accepting new patients | |
| Redbud Physical Rehabilitation PC | Physical Therapist | Past | Accepting new patients |
Locations
825 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 252-0513
707 W Main St
Collinsville, OK 74021
Phone (918) 371-2800
12641 S State Highway 51
Coweta, OK 74429
Phone (918) 486-1338
500 E 141st St
Glenpool, OK 74033
Phone (918) 322-3884
1118 S Main St
Grove, OK 74344
Phone (918) 786-9883
12326 E 86th St N
Owasso, OK 74055
Phone (918) 272-1923
1486 S Elliott St
Pryor, OK 74361
Phone (918) 825-2333
200 N Main St
Ste C
Sand Springs, OK 74063
Phone (918) 227-7888
209 E Rogers Blvd
Skiatook, OK 74070
Phone (918) 396-9799
2021 Mahaney Ave
Ste 6
Tahlequah, OK 74464
Phone (918) 458-5115
4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126
4526 S Peoria Ave
Tulsa, OK 74105
Phone (918) 794-9000
817 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-3100
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1710437306
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Skiatook, OK
- NPI 1730831868
-
- Physical Therapist
- Tulsa, OK
- NPI 1356339659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1659751923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721018",
"city": "NORMAN",
"state": "OK",
"postal_code": "730704786",
"telephone_number": "405-809-8713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 MAHANEY AVE STE 6",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744645795",
"telephone_number": "918-485-5115",
"fax_number": "918-458-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSON",
"first_name": "BEVERLY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.