Teresa Dawn Cogburn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2824 Issued in OK

Practice address

1500 N Sioux Ave
Claremore, OK 74017

Phone

(918) 923-4700

Fax

(918) 923-4701

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Teresa Dawn Woody Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Per4Mance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Claremore, OK
  • NPI 1922355023
  NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1760260095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N. SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-923-4700",
            "fax_number": "918-923-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "74017",
            "telephone_number": "918-923-4700",
            "fax_number": "918-923-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGBURN",
        "first_name": "TERESA",
        "middle_name": "DAWN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WOODY",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clayton W. Rogers Ed D
• Bruce Alan Clifton, O.D.
• Baleigh McKenna Clymer
• Aimee Carol Cochran
• Cherise Nicole Coffey
• Cohen and Cohen Cardiology, PLLC
• Alicia Cohen, M.D.
• Randolph Cohen, M.D.
• Helen Lavern Cole, MHR
• Melody Joann Collier

• Physical Therapy Assistant in Claremore, OK
• Providers in Claremore, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.