NPIMap

Organization Active NPI

Physical Therapy Services of Bartlesville Inc

Doing business as Bartlesville Physical Therapy

  • Physical Therapist
  • Bartlesville, OK
National Provider Identifier
1902844582
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY SERVICES OF BARTLESVILLE INC
Doing business as
Bartlesville Physical Therapy
Practice address
4100 SE Adams Rd
Suite A100
Bartlesville, OK 74006-8409
Phone
(918) 331-9922
Fax
(918) 331-9971
NPI assigned
Jun 3, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Alan A Henley
Title
Chief Executive Officer
Phone
(918) 331-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X OK Primary

Addresses

Primary practice location

4100 SE Adams Rd
Suite A100
Bartlesville, OK 74006-8409

Mailing address

4100 SE Adams Rd
Suite A100
Bartlesville, OK 74006-8409
Phone (918) 331-9922

Other identifiers 2

IdentifierTypeStateIssuer
100744540AMedicaidOK
200425060AOtherKSKANSAS MEDICAL ASSISTANCE

Other names 1

  • Bartlesville Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040412000681 OK Part B Supplier - Clinic/Group Practice 1254325459 Receives reassigned benefits from 2 practitioners
Practice locations: Bartlesville, OK
O20100930080141 OK DME Supplier - Independently-Practicing Physical Therapist 1254325459 Practice locations: Bartlesville, OK

National Provider Directory

National Provider Directory

Locations

4100 SE Adams Rd
Ste A100
Bartlesville, OK 74006
Phone (918) 331-9922

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1902844582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SE ADAMS RD",
            "address_2": "SUITE A100",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068409",
            "telephone_number": "918-331-9922",
            "fax_number": "918-331-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SE ADAMS RD",
            "address_2": "SUITE A100",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068409",
            "telephone_number": "918-331-9922",
            "fax_number": "918-331-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF BARTLESVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-331-9922"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744540A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAL ASSISTANCE",
            "identifier": "200425060A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlesville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.