Park Ridge Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2643 Issued in OK

Legal business name

PARK RIDGE PHYSICAL THERAPY, P.C.

Practice address

1401 SW Parkridge Blvd
Suite a
Lawton, OK 73505

Phone

(580) 248-5668

Fax

(580) 248-0785

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Leonor Watkins, PTNPI 1295773976

Title

Physical Therapist-Owner

Phone

(580) 248-5668

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonor Watkins, P.T.

  • Physical Therapist
  • Lawton, OK
  • NPI 1295773976
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1720138753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW PARKRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-248-5668",
            "fax_number": "580-248-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW PARKRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-248-5668",
            "fax_number": "580-248-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST-OWNER",
        "authorized_official_telephone_number": "580-248-5668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Rae Palmer, B.A. PSRS
• Twyla Palmer, RN
• Misty Panter, RN
• Emann Parent
• Vrajesh M Parikh, MD
• Jordan T Park
• SE Hun Park, ATC
• Parker Place Home 1, LLC.
• Parker Place Home 2, LLC.
• Alexandra Parker

• Physical Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.