Active NPI
Derek C Michael
- Physical Therapist
- Norman, OK
National Provider Identifier
1780025445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4239
- Practice address
- 2411 Springer Dr
Norman, OK 73069-3955 - Phone
- (405) 310-3222
- Fax
- (405) 310-3668
- NPI assigned
- Jul 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4239 | OK | Primary |
Addresses
Primary practice location
2411 Springer Dr
Norman, OK 73069-3955
Mailing address
2411 Springer Dr
Norman, OK 73069-3955
Phone (405) 310-3222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Health Professionals, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Edmond, OK
- NPI 1760805253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1780025445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 SPRINGER DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730693955",
"telephone_number": "405-310-3222",
"fax_number": "405-310-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 SPRINGER DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730693955",
"telephone_number": "405-310-3222",
"fax_number": "405-310-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "DEREK",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.