Individual provider Active NPI

Katie Turner Bumgarner, DPT

  • Physical Therapist
  • Okmulgee, OK
National Provider Identifier
1770132953
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5152 Issued in OK
Practice address
536 E 6TH St
Okmulgee, OK 74447-5520
Phone
(918) 756-6060
Fax
(918) 756-6058
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5152 OK Primary

Addresses

Primary practice location

536 E 6TH St
Okmulgee, OK 74447-5520

Mailing address

2234 W Houston St Ste B
Broken Arrow, OK 74012-3519
Phone (918) 259-1888

Other identifiers 2

IdentifierTypeStateIssuer
200879280AMedicaidOK
5152OtherOKLICENSE

Other names 1

  • Katie Marie Turner Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jwagoner@exceltherapyok.com Direct Excel Therapy Specialists, LLC
Direct Messaging Address kturner@exceltherapyok.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200125000174 OK Practitioner - Physical Therapist in Private Practice 9638504434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Therapy Specialists, LLCGroup PAC ID 1759294689, 16 clinicians

Practice addresses (Care Compare)

2232 W Houston St
Broken Arrow, OK 74012-3529
Phone (918) 259-9522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5152OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Therapy Specialists, LLC Physical Therapist CurrentSince Mar 9, 2020 Accepting new patients
Excel Therapy Specialists, LLC Physical Therapist CurrentSince Mar 9, 2020 Accepting new patients
Physical Rehabilitation Center on Mingo LLC Physical Therapist PastSince Apr 10, 2020 Accepting new patients

Locations

2234 W Houston St
Ste B
Broken Arrow, OK 74012
Phone (918) 259-1888

2232 W Houston St
Broken Arrow, OK 74012
Phone (918) 259-1888

523 E 6th St
Okmulgee, OK 74447
Phone (918) 756-6060

2424 E 21st St
Ste 400
Tulsa, OK 74114
Phone (918) 743-9235

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1770132953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 E 6TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475520",
            "telephone_number": "918-756-6060",
            "fax_number": "918-756-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER BUMGARNER",
        "first_name": "KATIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879280A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5152",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwagoner@exceltherapyok.com",
            "affiliation": "Y",
            "affiliationName": "Excel Therapy Specialists, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "536 E 6th St",
            "city": "Okmulgee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744475520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kturner@exceltherapyok.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "jwagoner@exceltherapyok.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Manager",
            "address_1": "536 E 6th St",
            "city": "Okmulgee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744475520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "TURNER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.