Individual provider Active NPI

Corie Thomason, PT

  • Physical Therapist
  • Yukon, OK
National Provider Identifier
1871379438
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6299 Issued in OK
Practice address
1115 Garth Brooks Blvd
Yukon, OK 73099-4106
Phone
(405) 354-6698
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6299 OK Primary

Addresses

Primary practice location

1115 Garth Brooks Blvd
Yukon, OK 73099-4106

Mailing address

PO Box 643001
Dallas, TX 75264-3001
Phone (972) 809-6412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122002799 OK Practitioner - Physical Therapist in Private Practice 4486006871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

1115 Garth Brooks Blvd
Yukon, OK 73099-4106
Phone (405) 354-6698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valir Outpatient Clinics LLC Physical Therapist CurrentSince Sep 10, 2023 Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients

Locations

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

13100 Colonypointe Blvd
Ste 108
Piedmont, OK 73078
Phone (405) 283-9774

1115 Garth Brooks Blvd
#2
Yukon, OK 73099
Phone (405) 354-6698

1115 Garth Brooks Blvd
Yukon, OK 73099
Phone (405) 354-6698

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1871379438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643001",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752643001",
            "telephone_number": "972-809-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GARTH BROOKS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994106",
            "telephone_number": "405-354-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "CORIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.