Active NPI
Michael Middaugh, DPT
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
National Provider Identifier
1679037360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5289
- Practice address
- 700 NE 13TH St
Oklahoma City, OK 73104-5004 - Phone
- (405) 824-2135
- NPI assigned
- Jan 26, 2019
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | 5289 | OK | Primary |
Addresses
Primary practice location
700 NE 13TH St
Oklahoma City, OK 73104-5004
Mailing address
520 W Hill St
Oklahoma City, OK 73118-7355
Phone (405) 824-2135
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 |
|---|---|---|---|
| 5289 | OK | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548460800000",
"number": "1679037360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W HILL ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731187355",
"telephone_number": "405-824-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045004",
"telephone_number": "405-824-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDAUGH",
"first_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-26",
"last_updated": "2019-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "5289",
"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 Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.