Individual provider Active NPI

Jeff Austin Barrett, PTA

  • Physical Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1689836041
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1570 Issued in OK
Practice address
4100 S Douglas Ave
4100 South Douglas Avenue
Oklahoma City, OK 73109-3210
Phone
(405) 644-5445
Fax
(405) 636-7178
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1570 OK Primary

Addresses

Primary practice location

4100 S Douglas Ave
4100 South Douglas Avenue
Oklahoma City, OK 73109-3210

Mailing address

4100 S Douglas Ave
4100 South Douglas Avenue
Oklahoma City, OK 73109-3210
Phone (405) 644-5445

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

LicenseStateTypeSpecialty
1570OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris South Oklahoma City Corporation Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1689836041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S DOUGLAS AVE",
            "address_2": "4100 SOUTH DOUGLAS AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093210",
            "telephone_number": "405-644-5445",
            "fax_number": "405-636-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S DOUGLAS AVE",
            "address_2": "4100 SOUTH DOUGLAS AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093210",
            "telephone_number": "405-644-5445",
            "fax_number": "405-636-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JEFF",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1570",
            "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 Jun 26, 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.

Verify at the official NPI Registry.