NPIMap

Organization Active NPI

Weatherford Hospital Authority

  • Physical Therapist
  • Weatherford, OK
National Provider Identifier
1831587088
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2264 Issued in OK
Legal business name
WEATHERFORD HOSPITAL AUTHORITY
Practice address
3729 Legacy
Weatherford, OK 73096-9746
Phone
(580) 772-2604
Fax
(580) 772-2906
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Debra K Howe
Title
Ceo
Phone
(580) 772-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2264 OK Primary

Addresses

Primary practice location

3729 Legacy
Weatherford, OK 73096-9746

Mailing address

3701 E Main St
Weatherford, OK 73096-3309
Phone (580) 772-5551

Other identifiers 3

IdentifierTypeStateIssuer
00370092001OtherOKBCBS
10698870EMedicaidOK
10699870CMedicaidOK

Other names 1

  • WRH Physical Therapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001105 OK Part B Supplier - Clinic/Group Practice 9032021837 Receives reassigned benefits from 16 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weatherford, OK

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Weatherford Hospital Authority2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3729 Legacy
Weatherford, OK 73096
Phone (580) 772-0424

Practitioners & affiliated clinicians

Practitioners 2

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": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1831587088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 E MAIN ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730963309",
            "telephone_number": "580-772-5551",
            "fax_number": "580-774-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "580-772-2604",
            "fax_number": "580-772-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERFORD HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-772-5551"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00370092001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10698870E",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10699870C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRH Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.