Active NPI
Drayer Physical Therapy Oklahoma LLC
- Physical Therapist
- Owasso, OK
National Provider Identifier
1750833612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DRAYER PHYSICAL THERAPY OKLAHOMA LLC
- Practice address
- 9045 N 121St East Ave Ste 700
Owasso, OK 74055-5431 - Phone
- (918) 376-5077
- Fax
- (918) 376-5078
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9045 N 121St East Ave Ste 700
Owasso, OK 74055-5431
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1083080766
O20160119002137
-
- Multi-Specialty Clinic/Center
- Coweta, OK
- NPI 1588213441
O20160119002137
-
- Physical Therapist
- Claremore, OK
- NPI 1912455700
O20160119002137
National Provider Directory
National Provider DirectoryLocations
9045 N 121st East Ave
Ste 700
Owasso, OK 74055
Phone (918) 376-5077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Owasso, OK
- NPI 1992823652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677196800000",
"number": "1750833612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 N 121ST EAST AVE STE 700",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555431",
"telephone_number": "918-376-5077",
"fax_number": "918-376-5078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAYER PHYSICAL THERAPY OKLAHOMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-26",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "BARGANIER",
"authorized_official_first_name": "THOMAS BRYAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "205-536-7602"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.