Organization Active NPI

Valir Outpatient Clinic #11 LLC

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1679008544
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VALIR OUTPATIENT CLINIC #11 LLC
Practice address
13100 N Western Ave Ste 302
Oklahoma City, OK 73114-1432
Phone
(405) 749-6720
NPI assigned
Apr 27, 2017
Last updated
Mar 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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

Authorized official

Name
Savanah Patt
Title
VP
Phone
(405) 609-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

13100 N Western Ave Ste 302
Oklahoma City, OK 73114-1432

Mailing address

700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-3600

Other practice location 1

2820 NW 122nd St Ste A
Oklahoma City, OK 73120-1709
Phone (405) 749-6720

Other identifiers 1

IdentifierTypeStateIssuer
200051680FMedicaidOK

National Provider Directory

National Provider Directory

Locations

13100 N Western Ave
Ste 302
Oklahoma City, OK 73114
Phone (405) 749-6720

2820 NW 122nd St
#A
Oklahoma City, OK 73120
Phone (405) 749-6720

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584835200000",
    "number": "1679008544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 302",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141432",
            "telephone_number": "405-749-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 NW 122nd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731201709",
            "country_code": "US",
            "telephone_number": "405-749-6720",
            "fax_number": "405-749-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALIR OUTPATIENT CLINIC #11 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "SAVANAH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "405-609-3600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051680F",
            "state": "OK"
        }
    ],
    "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 Mar 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.