Individual provider Active NPI

Hunter Linda Godfrey

  • Physical Therapy Assistant
  • Sallisaw, OK
National Provider Identifier
1720712540
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3255 Issued in OK
Practice address
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone
(918) 774-1100
NPI assigned
Jul 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3255 OK Primary

Addresses

Primary practice location

213 E Redwood Ave
Sallisaw, OK 74955-2811

Mailing address

21608 Cannery Rd
Spiro, OK 74959-4479
Phone (918) 208-5660

Other practice location 1

1207 S Lee St
Fort Gibson, OK 74434-8757
Phone (918) 203-5001

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
3255OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Physical Therapy LLC PastSince Mar 17, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1720712540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21608 CANNERY RD",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749594479",
            "telephone_number": "918-208-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552811",
            "telephone_number": "918-774-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 S Lee St",
            "address_purpose": "LOCATION",
            "city": "Fort Gibson",
            "state": "OK",
            "postal_code": "744348757",
            "country_code": "US",
            "telephone_number": "918-203-5001",
            "fax_number": "539-257-0126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "HUNTER",
        "middle_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.