NPIMap

Organization Active NPI

Action Physical Therapy & Rehabilitation, PLLC

  • Physical Therapist
  • Shawnee, OK
National Provider Identifier
1902103112
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTION PHYSICAL THERAPY & REHABILITATION, PLLC
Practice address
2506 N Harrison
Shawnee, OK 74804
Phone
(405) 214-0300
Fax
(405) 214-0301
NPI assigned
Feb 24, 2011
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Katie Landes, PTNPI 1285730978
Title
Owner
Phone
(405) 214-0300

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 Primary

Addresses

Primary practice location

2506 N Harrison
Shawnee, OK 74804

Mailing address

PO Box 3675
Shawnee, OK 74802-3675
Phone (405) 214-0300

Other practice location 1

2309B N Milt Phillips Ave.
Seminole, OK 74868
Phone (405) 303-2050

Other practice location 2

20926 SE 29th St Ste C
Harrah, OK 73045-6610
Phone (405) 391-2300

Other practice location 3

503 N Broadway St
Tecumseh, OK 74873-2017
Phone (405) 598-2899

Other practice location 4

1113 S Douglas Blvd Ste C
Midwest City, OK 73130-5245
Phone (405) 931-2518

Other identifiers 1

IdentifierTypeStateIssuer
200322790AMedicaidOK

National Provider Directory

National Provider Directory

Locations

20926 SE 29th St
Ste C
Harrah, OK 73045
Phone (405) 214-0300

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1902103112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3675",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748023675",
            "telephone_number": "405-214-0300",
            "fax_number": "405-214-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N HARRISON",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74804",
            "telephone_number": "405-214-0300",
            "fax_number": "405-214-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309B N Milt Phillips Ave.",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "74868",
            "country_code": "US",
            "telephone_number": "405-303-2050",
            "fax_number": "405-303-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20926 SE 29th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Harrah",
            "state": "OK",
            "postal_code": "730456610",
            "country_code": "US",
            "telephone_number": "405-391-2300",
            "fax_number": "405-391-2301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "OK",
            "postal_code": "748732017",
            "country_code": "US",
            "telephone_number": "405-598-2899",
            "fax_number": "405-598-0298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 S Douglas Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731305245",
            "country_code": "US",
            "telephone_number": "405-931-2518",
            "fax_number": "405-931-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTION PHYSICAL THERAPY & REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "LANDES",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-214-0300",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200322790A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.