Active NPI
Edie Jolyn Dyer
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1902870702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3040
- Practice address
- 9600 Broadway Ext
Oklahoma City, OK 73114-7408 - Phone
- (405) 230-9575
- NPI assigned
- Feb 16, 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 | 3040 | OK | Primary |
Addresses
Primary practice location
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Mailing address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9600 Broadway Ext
McBride Orthopedic Hospital
Oklahoma City, OK 73114-7408
Phone (405) 486-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.55 of 100
- Quality
- 81.07
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 69.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McBride Clinic Orthopedic Hospital, LLC | Current | Accepting new patients | |
| McBride Clinic Orthopedic Hospital, LLC | Past | Accepting new patients | |
| Physical Therapy Services of Bartlesville Inc | Physical Therapist | Past | Accepting new patients |
Locations
3700 36th Ave NW
Norman, OK 73072
Phone (405) 230-9600
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1932145505
-
- Physical Therapist
- Bartlesville, OK
- NPI 1902844582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1902870702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "EDIE",
"middle_name": "JOLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-16",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.