Active NPI
Michael Craig Hixon, PTA
- Physical Therapy Assistant
- Sapulpa, OK
National Provider Identifier
1902495260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 481
- Practice address
- 825 S Bixby St Ste B
Sapulpa, OK 74066-5150 - Phone
- (918) 492-2386
- Fax
- (918) 645-8686
- NPI assigned
- Jan 12, 2021
- 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 Therapy Assistant | 225200000X | 481 | OK | Primary |
Addresses
Primary practice location
825 S Bixby St Ste B
Sapulpa, OK 74066-5150
Mailing address
5110 S Yale Ave Ste 102
Tulsa, OK 74135-7438
Phone (918) 492-2386
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 |
|---|---|---|---|
| 481 | OK | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy 4 Kids Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Tulsa, OK
- NPI 1144486317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1902495260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 S YALE AVE STE 102",
"city": "TULSA",
"state": "OK",
"postal_code": "741357438",
"telephone_number": "918-492-2386",
"fax_number": "918-645-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S BIXBY ST STE B",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740665150",
"telephone_number": "918-492-2386",
"fax_number": "918-645-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIXON",
"first_name": "MICHAEL",
"middle_name": "CRAIG",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.