Sidney Joseph Gatzman, RPT
Individual provider Active NPI Physical Therapist · Stigler, OK
NPI 1730397662 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730397662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2323 (OK)
- Practice address
- 30352 SCR 4410Rd
Stigler, OK 74462 - Phone
- (918) 967-3547
- Fax
- (918) 967-3547
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Creek Nation Hospital and Clinics
Practice addresses (Care Compare)
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
500 Eunice Burns Rd
Eufaula, OK 74432-4052
Phone (918) 689-2547
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060301000815 | OK | Practitioner - Physical Therapist in Private Practice | 4486669637 | Reassigns benefits to 1 organization |
| I20230628000773 | TX | Practitioner - Physical Therapist in Private Practice | 4486669637 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2323 | OK | MD | Optometrist |
| PT2323 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients |
Locations
500 Eunice Burns Rd
Eufaula, OK 74432
Phone (918) 618-2168
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
Dept 1038
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2323 | OK | Yes |
Addresses
Primary practice location
30352 SCR 4410Rd
Stigler, OK 74462
Mailing address
30352 SCR 4410Rd
Stigler, OK 74462
Phone (918) 967-3547
Other providers in Stigler, OK
- Mitchel Fitzgerald
- William Franklin
- Aimee Nicole Freeman
- Jeffrey Don Fry
- Amy L Garman
- Hannah Gaylord
- Gary D Gentry
- Elizabeth Ann Giddings-Stewart
- Jesse A Gilmore
- Cheyenne Glover
All providers in Stigler, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.