Guymon Physical Therapy and Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GUYMON PHYSICAL THERAPY AND WELLNESS PLLC

Doing business as

Beaver Therapy and Wellness

Practice address

322 S Douglas Ave
Beaver, OK 73032

Phone

(580) 527-1289

Fax

(405) 267-4963

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

GUYMON PHYSICAL THERAPY AND WELLNESS PLLCAs reported in NPPES

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

Authorized official

Name

Sara Williams, PTA

Title

Pta

Phone

(580) 527-1289

Specialties & licenses 1

Addresses

Other names 1

• Beaver Therapy and Wellness Doing business as

Part of

Guymon Physical Therapy and Wellness PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Guymon Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Guymon, OK
  • NPI 1790048882
  NPPES parent name

Practitioners 2

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.

• Jacob Lee Tuttle, PT

  • Physical Therapist
  • Guymon, OK
  • NPI 1619099942
  NPD
• Cassie Nicole House, MOTR/L

  • Occupational Therapist
  • Clayton, NM
  • NPI 1508198185
  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1760154512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S DOUGLAS AVE",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "73032",
            "telephone_number": "580-527-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S DOUGLAS AVE",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "73032",
            "telephone_number": "580-527-1289",
            "fax_number": "405-267-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUYMON PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUYMON PHYSICAL THERAPY AND WELLNESS PLLC",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "580-527-1289",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Bennett, ARNP
• Kenzi Brown, PT, DPT
• Carlisle Vision Clinic PLLC
• Trey Dean Carlisle, O.D.
• Camber Dean Cline, APRN-CNP
• High Plains Hospice, LLC.
• High Plains Medical Specialists LLC
• Ashley Nicole Johnston, APRN
• Scotty King, APRN, FNP-C
• Gary Mathews, MD

• Physical Therapist in Beaver, OK
• Providers in Beaver, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.