Active NPI
Kim Ngo Schaberg, PT
- Physical Therapist
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3679
- Practice address
- 2232 W Houston St
Broken Arrow, OK 74012-3529 - Phone
- (918) 259-9522
- Fax
- (918) 259-9521
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- 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 Therapist | 225100000X | 3679 | OK | Primary |
Addresses
Primary practice location
2232 W Houston St
Broken Arrow, OK 74012-3529
Mailing address
2234-B W Houston
Broken Arrow, OK 74012-3519
Phone (918) 259-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200044970A | Medicaid | OK |
Other names 1
- Kim Y Ngo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2232 W Houston St
Broken Arrow, OK 74012-3529
Phone (918) 259-9522
24216 E Hwy 51
Broken Arrow, OK 74014-3473
Phone (918) 893-3409
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3679 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Therapy Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Excel Therapy Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Propel Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Sports Medicine Center-Norman, P.C. | Past | Accepting new patients |
Locations
24216 E Highway 51
Broken Arrow, OK 74014
Phone (918) 519-0621
2234 W Houston St
Ste B
Broken Arrow, OK 74012
Phone (918) 259-1888
2232 W Houston St
Broken Arrow, OK 74012
Phone (918) 259-1888
2424 E 21st St
Ste 400
Tulsa, OK 74114
Phone (918) 743-9235
Organizations & group practices 4
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.
-
- Physical Therapist
- Tulsa, OK
- NPI 1033277413
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1205537719
-
- Physical Therapist
- Muskogee, OK
- NPI 1942368329
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Norman, OK
- NPI 1306854765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1902814510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234-B W HOUSTON",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740123519",
"telephone_number": "918-259-1888",
"fax_number": "918-251-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHABERG",
"first_name": "KIM",
"middle_name": "NGO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200044970A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "NGO",
"middle_name": "Y",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.