Momentum Physical Therapy and Sports Medicine

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4514 Issued in OK

Legal business name

MOMENTUM PHYSICAL THERAPY AND SPORTS MEDICINE

Practice address

1430 E Lincoln Rd
Idabel, OK 74745-7343

Phone

(580) 612-0572

Fax

(580) 286-1158

NPI assigned

Apr 20, 2015

Last updated

Apr 20, 2015By 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

Dr. Christopher D Skelton, DPTNPI 1619925013

Title

Owner/Physical Therapist

Phone

(580) 612-0572

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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.

• Christopher Skelton, P.T.

  • Physical Therapist
  • Idabel, OK
  • NPI 1619925013
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1740677574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457343",
            "telephone_number": "580-612-0572",
            "fax_number": "580-286-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457343",
            "telephone_number": "580-612-0572",
            "fax_number": "580-286-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "580-612-0572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH SNF Ops LLC
• John H Migliaccio, MD
• Millennium Community Services, LLC
• Vinessa Jayne Mills, LT, R.D.H., B.S.
• Glenda K Mitchell, BA, PSRS
• Daniel J Mooney
• Kenneth Earl Moore, ATC
• Rosalyn Ann Moore, B.A
• Sandi Moore, LCSW
• Lorinda Gayle Morris, BHRS

• Orthopedic Physical Therapist in Idabel, OK
• Providers in Idabel, OK by specialty
• Orthopedic Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.