Organization Active NPI

Conkin Pelvic Health LLC

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1902639834
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CONKIN PELVIC HEALTH LLC
Practice address
1616 E 19TH St Ste 404
Edmond, OK 73013-6628
Phone
(405) 888-1852
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Brooke Conkin, PTNPI 1154627784
Title
Owner/Physical Therapist
Phone
(405) 888-1852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1616 E 19TH St Ste 404
Edmond, OK 73013-6628

Mailing address

1616 E 19TH St Ste 404
Edmond, OK 73013-6628
Phone (405) 888-1852

National Provider Directory

National Provider Directory

Locations

1616 E 19th St
Ste 404
Edmond, OK 73013
Phone (405) 474-3467

Practitioners & affiliated clinicians

Practitioners 1

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": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1902639834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E 19TH ST STE 404",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136628",
            "telephone_number": "405-888-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E 19TH ST STE 404",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136628",
            "telephone_number": "405-888-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONKIN PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "CONKIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-888-1852",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.