Active NPI
Theresa Rose Gattenby, P.T.
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1679758908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2514
- Practice address
- 10020 S Council Rd
Oklahoma City, OK 73169-3814 - Phone
- (405) 745-7518
- Fax
- (405) 745-7518
- NPI assigned
- Jan 6, 2008
- 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 | PT2514 | OK | Primary |
Addresses
Primary practice location
10020 S Council Rd
Oklahoma City, OK 73169-3814
Mailing address
10020 S Council Rd
Oklahoma City, OK 73169-3814
Phone (405) 745-7518
Other names 1
- Ms. Theresa Rose Anoatubby
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 |
|---|---|---|---|
| PT2514 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199577600000",
"number": "1679758908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10020 S COUNCIL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731693814",
"telephone_number": "405-745-7518",
"fax_number": "405-745-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10020 S COUNCIL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731693814",
"telephone_number": "405-745-7518",
"fax_number": "405-745-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTENBY",
"first_name": "THERESA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-06",
"last_updated": "2008-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "PT2514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "ANOATUBBY",
"middle_name": "ROSE",
"prefix": "MS.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
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 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.