Sandi Natthakarn Attamakulsri Kositchaiwat, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1437110020 Issued in OK

Practice address

6401 NW 39TH Expy
Bethany, OK 73008-2868

Phone

(405) 981-4001

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1801578992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 N PENIEL ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271424",
            "telephone_number": "405-642-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082868",
            "telephone_number": "405-981-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSITCHAIWAT",
        "first_name": "SANDI NATTHAKARN",
        "middle_name": "ATTAMAKULSRI",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "1437110020",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Kirsch
• Tabitha May Kizzar, LMFT
• Jason C Klein, CPNP, ARNP
• Laura Jana Klier, SLP
• Heidi Knight
• KTS LLC
• Morgan Kubat
• Laboratory Corporation of America
• Brett Ladiski, B.S.
• Leianna Marie Lamar, CNP

• Physical Medicine & Rehabilitation Physician in Bethany, OK
• Providers in Bethany, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.