Excel Therapy Specialists, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXCEL THERAPY SPECIALISTS, LLC

Practice address

698 Westside Dr
Ste 102
Durant, OK 74701-3084

Phone

(580) 931-3300

Fax

(580) 931-3301

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Tim Minnick

Title

President

Phone

(918) 259-9522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1760709042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123529",
            "telephone_number": "918-259-9522",
            "fax_number": "918-259-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 WESTSIDE DR",
            "address_2": "STE 102",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013084",
            "telephone_number": "580-931-3300",
            "fax_number": "580-931-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-259-9522"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Kathleen Evans, LPC
• Nancyann Nicole Evans, LMSW
• Scott Earl Evans, D.O.
• Steven Thomas Evans
• McKenna Everheart
• Family Care Center of Durant PC
• Mindy Fancher
• Diane Joan Farar
• Jantzen Josef Faulkner, D.O.
• Alissa Jade Lynn Feb-Winters, B.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.