Active NPI
Excel Therapy Specialists, LLC
- Physical Therapist
- Bartlesville, OK
National Provider Identifier
1679631055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EXCEL THERAPY SPECIALISTS, LLC
- Practice address
- 512 SE Washington Blvd
Bartlesville, OK 74006-8231 - Phone
- (918) 333-4343
- Fax
- (918) 333-4355
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Minnick
- Title
- President
- Phone
- (918) 259-9522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OK | Primary |
Addresses
Primary practice location
512 SE Washington Blvd
Bartlesville, OK 74006-8231
Mailing address
2232 W Houston St
Broken Arrow, OK 74012-3529
Phone (918) 259-9522
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1205854288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1679631055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 W HOUSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740123529",
"telephone_number": "918-259-9522",
"fax_number": "918-259-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SE WASHINGTON BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740068231",
"telephone_number": "918-333-4343",
"fax_number": "918-333-4355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL THERAPY SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "MINNICK",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-259-9522"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.