Active NPI
Dana Dale Terry, PT
- Physical Therapist
- Chickasha, OK
National Provider Identifier
1710961040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1578
- Practice address
- 3410 S 4TH St
Chickasha, OK 73018-7502 - Phone
- (405) 222-9537
- Fax
- (405) 222-9566
- NPI assigned
- Nov 30, 2005
- Last updated
- Jun 24, 2022
- 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 | PT1578 | OK | Primary |
Addresses
Primary practice location
3410 S 4TH St
Chickasha, OK 73018-7502
Mailing address
3410 S 4TH St
Chickasha, OK 73018-7502
Phone (405) 224-9675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4536410 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3410 S 4TH St
Chickasha, OK 73018-7502
Phone (405) 222-9537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1578 | OK | MD | Professional Counselor |
| PT1578 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Current | Accepting new patients |
| Valir Outpatient Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
3410 S 4th St
Chickasha, OK 73018
Phone (405) 222-9537
8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112
Organizations & group practices 3
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.
-
dba H2 Health
- Physical Therapist
- Oklahoma City, OK
- NPI 1982683306
-
- Physical Therapist
- Shawnee, OK
- NPI 1245765536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1710961040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 S 4TH ST",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730187502",
"telephone_number": "405-224-9675",
"fax_number": "405-224-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 S 4TH ST",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730187502",
"telephone_number": "405-222-9537",
"fax_number": "405-222-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "DANA",
"middle_name": "DALE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "PT1578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4536410",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.