Active NPI
Brian Alan Chace, DPT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1679852735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4476
- Practice address
- 7100 S I 35 Service Rd # 7
Oklahoma City, OK 73149-2740 - Phone
- (405) 632-1002
- NPI assigned
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 4476 | OK | Primary |
Addresses
Primary practice location
7100 S I 35 Service Rd # 7
Oklahoma City, OK 73149-2740
Mailing address
7516 NW 132ND St
Oklahoma City, OK 73142-2405
Phone (405) 408-2160
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1679852735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7516 NW 132ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422405",
"telephone_number": "405-408-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 S I 35 SERVICE RD # 7",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731492740",
"telephone_number": "405-632-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACE",
"first_name": "BRIAN",
"middle_name": "ALAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4476",
"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 Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.