NPIMap

Organization Active NPI

Excel Therapy Specialists, LLC

  • Physical Therapist
  • Okmulgee, OK
National Provider Identifier
1891919130
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCEL THERAPY SPECIALISTS, LLC
Practice address
523 E 6TH St
Okmulgee, OK 74447-5520
Phone
(918) 756-6060
Fax
(918) 756-6058
NPI assigned
Apr 11, 2007
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Tim MinnickNPI 1205854288
Title
President
Phone
(918) 259-9522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X OK Primary

Addresses

Primary practice location

523 E 6TH St
Okmulgee, OK 74447-5520

Mailing address

2232 W Houston St
Broken Arrow, OK 74012-3529
Phone (918) 259-9522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1891919130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123529",
            "telephone_number": "918-259-9522",
            "fax_number": "918-259-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 6TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475520",
            "telephone_number": "918-756-6060",
            "fax_number": "918-756-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-259-9522"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.