Regeneration Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1949 Issued in OK

Legal business name

REGENERATION PHYSICAL THERAPY, PLLC

Practice address

11620 Mill Hollow CT
Oklahoma City, OK 73131-7522

Phone

(405) 834-7635

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy W PierceyNPI 1578534996

Title

President

Phone

(405) 834-7635

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

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

• Jimmy Piercey, PT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1578534996
  Medicare reassignment Authorized official
• Jeffrey Frazier, D.P.T.

  • Physical Therapist
  • Moore, OK
  • NPI 1093003378
  NPD (past)
• Colin Daniel Jones, PT

  • Physical Therapist
  • Moore, OK
  • NPI 1740577188
  NPD (past)
• Jeff Scott Moses, PHYSICAL THERAPIST

  • Physical Therapist
  • Weatherford, OK
  • NPI 1316994189
  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1730364183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 MILL HOLLOW CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731317522",
            "telephone_number": "405-834-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 MILL HOLLOW CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731317522",
            "telephone_number": "405-834-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "PIERCEY",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-834-7635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Angelo Regan
• Margaret Camille Regan, LCSW
• Alexandra Regens, M.D.
• Todd S Regier, MD
• Gaye Reginald, L.D.
• Regional AIDS Intercommunity Network
• Regions Medical Distributors

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.