Nikolaus Prescott, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5276 Issued in OK

Practice address

4907 E Galveston PL
Broken Arrow, OK 74014-2342

Phone

(918) 841-6257

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bespoke Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Broken Arrow, OK
  • NPI 1952139388

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1669083101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 E GALVESTON PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142342",
            "telephone_number": "918-841-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 E GALVESTON PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142342",
            "telephone_number": "918-841-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "NIKOLAUS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Optical of Okla Inc (Precision Optical)
• Preferred Physical Therapy Broken Arrow, PLLC
• Premier Family Care PC
• Premier Pain Associates Inc.
• Premise Health of Oklahoma Medical, P.C (Premise Health - Broken Arrow)
• Rebekah Joy Presley, FNP-C
• Hope Burnett Prestmo
• Ann Prewitt
• Julia P. Price, MSN/RN
• Landon D Price, M.D.

• 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 Jul 25, 2024; 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.