Kelly J Chebahtah, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1350 Issued in OK

Practice address

31870 E State Highway 51
Coweta, OK 74429-7900

Phone

(918) 279-3450

Fax

(918) 279-1105

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902927775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HORN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744032722",
            "telephone_number": "918-781-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31870 E STATE HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297900",
            "telephone_number": "918-279-3450",
            "fax_number": "918-279-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBAHTAH",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C.H.R.E L.L.C.
• Barbra Lynn Caldwell, APRN-CNP
• Abigail Carnes, DPT
• Ronnie L Carr, D.O.
• Kimala Center, RN
• Chre, LLC
• City of Coweta
• Chelsea Marie Clifton
• Kathy Collier, DPH
• Jessica Diane Collins, M.S. CCC-SLP

• Physical Therapy Assistant in Coweta, OK
• Providers in Coweta, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.