Individual provider Active NPI

Erin S. Wilfong, P.T.

  • Physical Therapist
  • Stillwater, OK
National Provider Identifier
1700017027
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4282 Issued in OK
Practice address
1810 N Perkins Rd
Stillwater, OK 74075
Phone
(405) 624-6592
Fax
(405) 624-6596
NPI assigned
Aug 4, 2009
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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 4282 OK Primary

Addresses

Primary practice location

1810 N Perkins Rd
Stillwater, OK 74075

Mailing address

1810 N Perkins Rd
Stillwater, OK 74075-2992
Phone (405) 624-6592

Other practice location 1

1071 W Blue Starr Dr Ste 105
Claremore, OK 74017-2869
Phone (918) 342-3800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Board of Regents of the University of Oklahoma--Ou Health Services Past Accepting new patients
College Park Family Care Center PA Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1700017027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752992",
            "telephone_number": "405-624-6592",
            "fax_number": "405-624-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74075",
            "telephone_number": "405-624-6592",
            "fax_number": "405-624-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 W Blue Starr Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740172869",
            "country_code": "US",
            "telephone_number": "918-342-3800",
            "fax_number": "918-342-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "ERIN",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.