Active NPI
Raeann Susan Thomas, PT, MPT
- Physical Therapist
- Newcastle, OK
National Provider Identifier
1679578959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3557
- Practice address
- 3699 NW 32ND St
Newcastle, OK 73065-6559 - Phone
- (405) 387-5520
- Fax
- (405) 387-5404
- NPI assigned
- Jun 14, 2005
- Last updated
- Jul 6, 2021
- 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 | 3557 | OK | Primary |
Addresses
Primary practice location
3699 NW 32ND St
Newcastle, OK 73065-6559
Mailing address
2408 Old Creek Rd
Edmond, OK 73034-1537
Phone (405) 820-5075
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3557 | OK | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Edmond, OK
- NPI 1144978933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1679578959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 OLD CREEK RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730341537",
"telephone_number": "405-820-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3699 NW 32ND ST",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "730656559",
"telephone_number": "405-387-5520",
"fax_number": "405-387-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RAEANN",
"middle_name": "SUSAN",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newcastle, OK
- Erika Ann Somero, APRN-CNP
- Randa Shea Spangler, APRN, NP-C
- Therapy in Motion of Oklahoma LLC
- Therapy in Motion PC (Therapy In Motion)
- Therapy Insync LLC
- Reagan Thomas, COTA/L
- Thrive Psychiatric & Medication LLC
- Thrive Psychiatric & Medication LLC
- Tri City Oral Surgery PLLC
- Tri City Vision Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.