Active NPI
Ryan Doyeto
- Physical Therapist
- Tahlequah, OK
National Provider Identifier
1841609781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4854
- Practice address
- 3489 Southridge PL Apt 4
Tahlequah, OK 74464-7917 - Phone
- (405) 924-1636
- NPI assigned
- Aug 5, 2014
- Sex
- Male
- 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 Therapist | 225100000X | 4854 | OK | Primary |
Addresses
Primary practice location
3489 Southridge PL Apt 4
Tahlequah, OK 74464-7917
Mailing address
3489 Southridge PL Apt 4
Tahlequah, OK 74464-7917
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4854 | OK | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Oklahoma City, OK
- NPI 1386605905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1841609781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3489 SOUTHRIDGE PL APT 4",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744647917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3489 SOUTHRIDGE PL APT 4",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744647917",
"telephone_number": "405-924-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYETO",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.