Active NPI
Kathryn Elizabeth Bolton, PT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1710178397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2983
- Practice address
- 6600 S Yale Ave
Suite 200
Tulsa, OK 74136-3310 - Phone
- (918) 488-6888
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2983 | OK | Primary |
Addresses
Primary practice location
6600 S Yale Ave
Suite 200
Tulsa, OK 74136-3310
Mailing address
6600 S Yale Ave
Suite 200
Tulsa, OK 74136-3310
Phone (918) 488-6888
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1710178397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363310",
"telephone_number": "918-488-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363310",
"telephone_number": "918-488-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.