NPIMap

Organization Active NPI

Durant Physical Therapy Inc, PC

Doing business as Durant Physical Therapy

  • Physical Therapist
  • Durant, OK
National Provider Identifier
1780754705
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2379 Issued in OK
Legal business name
DURANT PHYSICAL THERAPY INC, PC
Doing business as
Durant Physical Therapy
Practice address
3004 W University Blvd
Ste 101
Durant, OK 74701-2998
Phone
(580) 920-2231
Fax
(580) 920-2242
NPI assigned
Nov 8, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Bradley Neil Harper, PHYSICAL THERAPISTNPI 1841292844
Title
Owner/PT
Phone
(580) 920-2231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT2379 OK Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT2365 OK
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1133726 TX

Addresses

Primary practice location

3004 W University Blvd
Ste 101
Durant, OK 74701-2998

Mailing address

3004 W University Blvd
Ste 101
Durant, OK 74701-2998
Phone (580) 920-2231

Other names 1

  • Durant Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000738 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557305646 Receives reassigned benefits from 3 practitioners
Practice locations: Durant, OK

National Provider Directory

National Provider Directory
Tax ID family
Durant Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3004 W University Blvd
Ste 101
Durant, OK 74701
Phone (580) 920-2231

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1780754705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 W UNIVERSITY BLVD",
            "address_2": "STE 101",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012998",
            "telephone_number": "580-920-2231",
            "fax_number": "580-920-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 W UNIVERSITY BLVD",
            "address_2": "STE 101",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012998",
            "telephone_number": "580-920-2231",
            "fax_number": "580-920-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANT PHYSICAL THERAPY INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "580-920-2231",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2379",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2365",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1133726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durant Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.