Individual provider Active NPI

Joe A Streich, P.T.

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1780676452
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3092 Issued in OK
Practice address
2301 Semillon Way
Edmond, OK 73012-1265
Phone
(405) 922-1860
NPI assigned
Aug 18, 2005
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 3092 OK Primary

Addresses

Primary practice location

2301 Semillon Way
Edmond, OK 73012-1265

Mailing address

2301 Semillon Way
Edmond, OK 73012-1265
Phone (405) 922-1860

Other identifiers 1

IdentifierTypeStateIssuer
200097580AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3092OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Apr 15, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 15, 2022 Accepting new patients
Southwest Orthopaedic Specialists, PLLC PastSince Dec 2, 2024 Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

13801 N Bryant Ave
Ste 400
Edmond, OK 73013
Phone (405) 246-9355

941 W I 35 Frontage Rd
Ste 132
Edmond, OK 73034
Phone (405) 227-9667

1624 Midtown Pl
#B
Midwest City, OK 73130
Phone (405) 246-9355

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1780676452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SEMILLON WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121265",
            "telephone_number": "405-922-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SEMILLON WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121265",
            "telephone_number": "405-922-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREICH",
        "first_name": "JOE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.