Active NPI
Janna Kaylene Markham, PT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1669660452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3074
- Practice address
- 4350 Will Rogers Pkwy Ste 600
Oklahoma City, OK 73108-1808 - Phone
- (405) 948-2813
- NPI assigned
- Oct 5, 2007
- 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 | PT3074 | OK | Primary |
Addresses
Primary practice location
4350 Will Rogers Pkwy Ste 600
Oklahoma City, OK 73108-1808
Mailing address
RR 1 Box 146
Reydon, OK 73660-9780
Phone (580) 497-6066
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 |
|---|---|---|---|
| PT3074 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabsource-Therapy at Work, LLC | Past | Accepting new patients | |
| Rehabsource, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1073777991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1669660452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 146",
"city": "REYDON",
"state": "OK",
"postal_code": "736609780",
"telephone_number": "580-497-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 WILL ROGERS PKWY STE 600",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081808",
"telephone_number": "405-948-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKHAM",
"first_name": "JANNA",
"middle_name": "KAYLENE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "PT3074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.