Virtual Service Dog Supports, LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

VIRTUAL SERVICE DOG SUPPORTS, LLC

Practice address

3228 S Jamestown Ave
Tulsa, OK 74135-4408

Phone

(918) 280-9320

Fax

(918) 221-8079

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela GuentherNPI 1003995515

Title

Managing Member

Phone

(918) 280-9320

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Guenther, PT

  • Pediatric Physical Therapist
  • Tulsa, OK
  • NPI 1003995515
  NPD Authorized official
• Sarah Lichtenwalter

  • Physical Therapy Assistant
  • Tulsa, OK
  • NPI 1548977762
  NPD
• Melissa Horn-Speck, RDN/LD

  • Registered Dietitian
  • Sand Springs, OK
  • NPI 1740989011
  NPD (past)

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1720786080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 S JAMESTOWN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354408",
            "telephone_number": "918-280-9320",
            "fax_number": "918-221-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 S JAMESTOWN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354408",
            "telephone_number": "918-280-9320",
            "fax_number": "918-221-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL SERVICE DOG SUPPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "GUENTHER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-280-9320"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlynn J Violett, RPH
• Erica Violett, MA, PLPC
• Kishore Vipperla, M.D.
• Jovani Steven Virgen
• Dimo Virostko
• Alyson Viselli
• Visionworks Inc. (Visionworks)
• Visionworks, Inc.
• Visiting Nurse Association of Tulsa
• Amanda Louise Viso, PHARMD

• Day Training/Habilitation Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Day Training/Habilitation Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.