Mind Body & Soul Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIND BODY & SOUL PHYSICAL THERAPY

Practice address

1400 E Okmulgee St
Muskogee, OK 74403-5644

Phone

(918) 577-5088

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Stella Jean Ward, RPTNPI 1699261032

Title

Owner/Physical Therapist

Phone

(918) 577-5088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• Stella Jean Ward, PT

  • Physical Therapist
  • Muskogee, OK
  • NPI 1699261032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1659912673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035644",
            "telephone_number": "918-577-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035644",
            "telephone_number": "918-577-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY & SOUL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-577-5088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Glenn Miller, DC
• Kristy Miller
• Michella Miller, RN
• Nikki Renee Miller
• Tonickia Sharron Miller
• Karissa Marie Misner, DO
• Allison Mitchell, BSN, RN
• Christopher Matthew Mitchell, M.D.
• Karen Kylene Mitchell, DPH
• Eric W Mix, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.