Individual provider Active NPI

Kellie J Hunt, PT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1801060413
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2869 Issued in OK
Practice address
10914 Hefner Pointe Dr
Suite 204
Oklahoma City, OK 73120-5066
Phone
(405) 749-6720
Fax
(405) 749-1066
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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 PT 2869 OK Primary

Addresses

Primary practice location

10914 Hefner Pointe Dr
Suite 204
Oklahoma City, OK 73120-5066

Mailing address

825 N Broadway Ave
Suite 400
Oklahoma City, OK 73102-6039
Phone (405) 609-3670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411000939 CA Practitioner - Physical Therapist in Private Practice 9032289277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy and FitnessGroup PAC ID 9234435215, 11 clinicians

Practice addresses (Care Compare)

8030 Soquel Ave
Suite 200
Santa Cruz, CA 95062-2096
Phone (831) 464-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2869OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy & Fitness Physical Therapist CurrentSince Feb 21, 2022 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients
Valir Outpatient Clinics LLC Past Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

8030 Soquel Ave
Ste 200
Santa Cruz, CA 95062
Phone (831) 464-8200

Organizations & group practices 4

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1801060413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N BROADWAY AVE",
            "address_2": "SUITE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026039",
            "telephone_number": "405-609-3670",
            "fax_number": "405-605-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 HEFNER POINTE DR",
            "address_2": "SUITE 204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205066",
            "telephone_number": "405-749-6720",
            "fax_number": "405-749-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KELLIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT 2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.