Mynda Miser, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3493 Issued in OK

Practice address

11211 N Garnett Rd Ste B
Owasso, OK 74055-4243

Phone

(918) 553-1122

Fax

(833) 840-6360

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mynda Surita Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Step by Step Therapy Inc

  • Pediatric Physical Therapist
  • Owasso, OK
  • NPI 1861044521
  NPD Authorized official
• The Spot for Kids

  • Speech-Language Pathologist
  • Broken Arrow, OK
  • NPI 1851715395
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1831297779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 N GARNETT RD STE B",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554243",
            "telephone_number": "918-553-1122",
            "fax_number": "833-840-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 N GARNETT RD STE B",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554243",
            "telephone_number": "918-553-1122",
            "fax_number": "833-840-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISER",
        "first_name": "MYNDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3493",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYNDA",
            "last_name": "SURITA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Midwest Homestead of Owasso, LLC
• Mighty Oaks PLLC
• Sabrina Miles, OTR/L
• Alicia Marie Millburn
• Nicole S Miller, APRN-CNP
• Shawna Lanee Mitchell
• Mobile Medical Solutions
• Modern Day Dental
• Hayley Marie Molina, DC
• Russell Dale Moneypenny, DO

• Physical Therapist in Owasso, OK
• Providers in Owasso, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.