Active NPI
Tracey Szabo I
- Physical Therapy Assistant
- Muskogee, OK
National Provider Identifier
1821404898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1440
- Practice address
- 938B W Shawnee St
938 B Shawnee
Muskogee, OK 74401-3511 - Phone
- (918) 683-7731
- Fax
- (717) 635-3975
- NPI assigned
- Jul 10, 2014
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 1440 | OK | Primary |
Addresses
Primary practice location
938B W Shawnee St
938 B Shawnee
Muskogee, OK 74401-3511
Mailing address
938B W Shawnee St
938 B Shawnee
Muskogee, OK 74401-3511
Phone (918) 683-7731
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1440 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1770544371
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Tulsa, OK
- NPI 1811958440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1821404898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938B W SHAWNEE ST",
"address_2": "938 B SHAWNEE",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744013511",
"telephone_number": "918-683-7731",
"fax_number": "717-635-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938B W SHAWNEE ST",
"address_2": "938 B SHAWNEE",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744013511",
"telephone_number": "918-683-7731",
"fax_number": "717-635-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZABO",
"first_name": "TRACEY",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.