NPIMap

Organization Active NPI

Five Star Physical Therapy and Sport Medicine, LLC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1750691226
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1296 Issued in OK
Legal business name
FIVE STAR PHYSICAL THERAPY AND SPORT MEDICINE, LLC
Practice address
6801 Norht Classen Blvd.
Suite #B
Oklahoma City, OK 73116
Phone
(405) 810-2902
Fax
(405) 810-2905
NPI assigned
Oct 18, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Mr. Doug Arnold, PT, ATC
Title
Owner
Phone
(405) 810-2902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1296 OK Primary

Addresses

Primary practice location

6801 Norht Classen Blvd.
Suite #B
Oklahoma City, OK 73116

Mailing address

2601 East Danforth Rd.
Edmond, OK 73034
Phone (405) 810-2902

National Provider Directory

National Provider Directory
Tax ID family
Five Star Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1750691226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 EAST DANFORTH RD.",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-810-2902",
            "fax_number": "405-810-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NORHT CLASSEN BLVD.",
            "address_2": "SUITE #B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-810-2902",
            "fax_number": "405-810-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR PHYSICAL THERAPY AND SPORT MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-810-2902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "1296",
            "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 Oct 18, 2010; 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.