Organization Active NPI

Fedmed LLC

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1730892456
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FEDMED LLC
Practice address
1740 S. Sooner Unit B
Oklahoma City, OK 73110
Phone
(405) 900-4946
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Mr. Henry Heath Ashby
Title
Coo
Phone
(405) 924-9841

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1740 S. Sooner Unit B
Oklahoma City, OK 73110

Mailing address

1740 S. Sooner Unit B
Oklahoma City, OK 73110
Phone (405) 900-4946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1730892456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 S. SOONER UNIT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-900-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S. SOONER UNIT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-900-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "405-924-9841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

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

Verify at the official NPI Registry.