Specialized Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPECIALIZED PHYSICAL THERAPY PC

Practice address

3333 W Hefner Road
Suite a
Oklahoma City, OK 73120

Phone

(405) 751-9955

Fax

(405) 751-9982

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melisa L Stout-Herring, PTNPI 1376520007

Title

Physical Therapist

Phone

(405) 751-9955

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melisa Layne Stout-Herring, PT ATC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1376520007
  Medicare reassignment NPD Authorized official
• Brittney Dawn Blackburn, DPT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1205546173
  NPD
• Lynn Allison Smith, P.T.

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1083660872
  NPD
• Andrea Marcy Emmett, DPT

  • Physical Therapist
  • Midwest City, OK
  • NPI 1962672600
  NPD (past)
• Amanda J Garrison, PT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1811974546
  NPD (past)
• Melissa C Haddock, PT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1851357404
  NPD (past)
• Kimberly Ann Lewis, PTA

  • Physical Therapy Assistant
  • Oklahoma City, OK
  • NPI 1801002803
  NPD (past)
• Lora Smith, DPT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1629185723
  NPD (past)
• Lynda D. Woolard, P.T.

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1568620623
  NPD (past)
• Elizabeth Yates, PTA

  • Physical Therapy Assistant
  • Oklahoma City, OK
  • NPI 1447377213
  NPD (past)
• Louisa Lee Mox, P.T.

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1366692402
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699747972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W HEFNER ROAD",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-751-9955",
            "fax_number": "405-751-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W HEFNER ROAD",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-751-9955",
            "fax_number": "405-751-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STOUT-HERRING",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-751-9955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.