Active NPI
Charyl Edwards
- Physical Therapy Assistant
- Tulsa, OK
National Provider Identifier
1730824491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3237
- Practice address
- 7821 E 76TH St
Tulsa, OK 74133-3680 - Phone
- (918) 249-1262
- NPI assigned
- Apr 27, 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 | 3237 | OK | Primary |
Addresses
Primary practice location
7821 E 76TH St
Tulsa, OK 74133-3680
Mailing address
8219 S College Ave
Tulsa, OK 74137-1321
Phone (918) 852-0247
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 |
|---|---|---|---|
| 3237 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1730824491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8219 S COLLEGE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741371321",
"telephone_number": "918-852-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7821 E 76TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741333680",
"telephone_number": "918-249-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CHARYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "3237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.