Organization Active NPI

Physical Solutions Yukon, PLLC

  • Chiropractor
  • Yukon, OK
National Provider Identifier
1700637402
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PHYSICAL SOLUTIONS YUKON, PLLC
Practice address
815 E Main St Ste 125
Yukon, OK 73099-2171
Phone
(405) 467-4759
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Desiree Koenig
Title
Office Manager
Phone
(405) 726-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

815 E Main St Ste 125
Yukon, OK 73099-2171

Mailing address

815 E Main St Ste 125
Yukon, OK 73099-2171
Phone (405) 467-4759

National Provider Directory

National Provider Directory

Locations

815 E Main St
Ste 125
Yukon, OK 73099
Phone (405) 467-4759

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1700637402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E MAIN ST STE 125",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992171",
            "telephone_number": "405-467-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E MAIN ST STE 125",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992171",
            "telephone_number": "405-467-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL SOLUTIONS YUKON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-726-2727"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.