Southwest Oklahoma PT Associates LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHWEST OKLAHOMA PT ASSOCIATES LLC

Practice address

100 S Park LN
Altus, OK 73521-5750

Phone

(580) 482-9159

Fax

(580) 482-9156

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary L Akin

Title

Billing Manager

Phone

(405) 631-8888

Specialties & licenses 1

Addresses

Other names 1

• Rebound Oklahoma Doing business as

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1679769285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 S WESTERN AVE STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391712",
            "telephone_number": "405-631-8888",
            "fax_number": "405-631-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215750",
            "telephone_number": "580-482-9159",
            "fax_number": "580-482-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OKLAHOMA PT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "AKIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "405-631-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebound Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Oklahoma Community Action Group, Inc.
• Southwest Oklahoma Community Action Group, Inc.
• Southwest Oklahoma Community Action Group, Inc.
• Southwest Oklahoma Community Action Group, Inc.
• Southwest Oklahoma Community Action Group, Inc.
• Southwest Orthopedics, Inc
• Southwestern Youth Services
• Southwestern Youth Services, Inc.
• Crystal Sowa, CD(DONA)
• Christopher Allan Sparrow, STUDENT PROVIDER

• Physical Therapist in Altus, OK
• Providers in Altus, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.