Individual provider Active NPI

Vicki Lynn Buchanan

  • Physical Therapist
  • Midwest City, OK
National Provider Identifier
1689894453
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1383 Issued in OK
Practice address
8121 National Ave Ste 400
Midwest City, OK 73110-7572
Phone
(405) 732-3353
Fax
(405) 732-3397
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1383 OK Primary

Addresses

Primary practice location

8121 National Ave Ste 400
Midwest City, OK 73110-7572

Mailing address

9309 E Reno Ave
Midwest City, OK 73130-3321
Phone (405) 732-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000513 OK Practitioner - Physical Therapist in Private Practice 6204896913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Physical Therapy IncGroup PAC ID 3678533387, 3 clinicians

Practice addresses (Care Compare)

11704 S Western Ave
Oklahoma City, OK 73170-5830
Phone (405) 692-5205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1383OKMDClinical Social Worker
PT1383OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 1999 Accepting new patients

Locations

9309 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-3353

8121 National Ave
Ste 400
Oklahoma City, OK 73110
Phone (405) 732-3353

11704 S Western Ave
Oklahoma City, OK 73170
Phone (405) 692-5205

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1689894453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303321",
            "telephone_number": "405-732-3353",
            "fax_number": "405-732-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE STE 400",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107572",
            "telephone_number": "405-732-3353",
            "fax_number": "405-732-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.