Active NPI
Jacob Todd, DPT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1851885115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5543
- Practice address
- 6101 W Reno Ave Ste 800
Oklahoma City, OK 73127-6592 - Phone
- (405) 495-3085
- NPI assigned
- Jun 20, 2018
- 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 | 5543 | OK | Primary |
Addresses
Primary practice location
6101 W Reno Ave Ste 800
Oklahoma City, OK 73127-6592
Mailing address
3908 Lakeshire Ridge CT
Edmond, OK 73034-1049
Phone (918) 931-7052
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 |
|---|---|---|---|
| 5543 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1851885115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 LAKESHIRE RIDGE CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730341049",
"telephone_number": "918-931-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 W RENO AVE STE 800",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276592",
"telephone_number": "405-495-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "JACOB",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.