Active NPI
Hunter Linda Godfrey
- Physical Therapy Assistant
- Sallisaw, OK
National Provider Identifier
1720712540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3255
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3255 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Physical Therapy LLC | Past | 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.
-
- Clinic/Center
- Fort Gibson, OK
- NPI 1316695919
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.