Lanette R Decelle, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1780 Issued in OK

Practice address

4157 S Harvard
#117
Tulsa, OK 74135

Phone

(918) 712-7868

Fax

(918) 749-2901

NPI assigned

Oct 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Therapytime Pediatrics

  • Physical Therapist
  • Tulsa, OK
  • NPI 1093838971
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891881975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD",
            "address_2": "#117",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-712-7868",
            "fax_number": "918-749-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD",
            "address_2": "#117",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-712-7868",
            "fax_number": "918-749-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECELLE",
        "first_name": "LANETTE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OK",
            "license": "1780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Debord
• Antwan Debose
• Lyndsey Debose
• Jason Matthew Debruycker, RRNA
• Kirstin Decamp, RN
• Jason W. Deck, MD
• Marci Love Deck, PA-C
• Casey Deckard, LPC
• Bobbie L Decker, CST/CSFA
• Caitlyn Decker

• Pediatric Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.