Individual provider Active NPI

Michaiah Newman-Chock

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1710735899
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6461 Issued in OK
Practice address
14002 E 21St St Ste 650
Tulsa, OK 74134-1432
Phone
(918) 274-7902
NPI assigned
May 13, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 6461 OK Primary

Addresses

Primary practice location

14002 E 21St St Ste 650
Tulsa, OK 74134-1432

Mailing address

5156 S Vandalia Ave Unit
10L
Tulsa, OK 74135-4028
Phone (505) 715-0705

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

State licenses

LicenseStateTypeSpecialty
6461OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastgate Metroplex Therapy LLC CurrentSince May 19, 2024 Accepting new patients
Hope for Tulsa CurrentSince May 19, 2024 Accepting new patients

Locations

14002 E 21st St
Ste 650
Tulsa, OK 74134
Phone (918) 274-7902

Organizations & group practices 2

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1710735899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 S VANDALIA AVE UNIT",
            "address_2": "10L",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354028",
            "telephone_number": "505-715-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341432",
            "telephone_number": "918-274-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN-CHOCK",
        "first_name": "MICHAIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6461",
            "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 May 16, 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.