Emily Phillips, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2999 Issued in OK

Practice address

800 Garth Brooks Blvd
Yukon, OK 73099-3841

Phone

(405) 350-3336

NPI assigned

Mar 11, 2021

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PTMS 3.0, LLC

  dba Physical Therapy Central of Bethany

  • Physical Therapist
  • Bethany, OK
  • NPI 1972056786
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1699350645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCHANT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696470",
            "telephone_number": "405-809-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GARTH BROOKS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993841",
            "telephone_number": "405-350-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EMILY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "2999",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norman",
            "affiliation": "N",
            "address_1": "800 Garth Brooks Blvd",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730993841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karla Jean Petty
• PF South Yukon SNF Ops, LLC (Ranchwood Nursing Center)
• Kaitlyn Pham
• Thu Pham
• Phileo Physical Therapy LLC
• PHP Ok PC (Primary Health Partners)
• PHP Yukon LLC (Primary Health Partners)
• Physical Solutions Yukon, PLLC
• Mark Dennis Piatt II
• Piedmont Dentistry & Braces (Northwood Dentistry and Braces)

• Physical Therapy Assistant in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.