Individual provider Active NPI

Tina Nail, RPTA

  • Nursing Facility/Intermediate Care Facility
  • Okmulgee, OK
National Provider Identifier
1912387739
Registry record updated Jun 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
PTA870 Issued in OK
Practice address
415 W 3Rd St
Okmulgee, OK 74447-3205
Phone
(918) 758-2075
NPI assigned
Jun 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X PTA870 OK Primary

Addresses

Primary practice location

415 W 3Rd St
Okmulgee, OK 74447-3205

Mailing address

8930 Hilltop Rd
Beggs, OK 74421-2018
Phone (918) 809-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA870OKMDNursing Facility/Intermediate Care Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderfully Made Therapy Group, LLC CurrentSince Apr 26, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1912387739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 HILLTOP RD",
            "city": "BEGGS",
            "state": "OK",
            "postal_code": "744212018",
            "telephone_number": "918-809-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 3RD ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744473205",
            "telephone_number": "918-758-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIL",
        "first_name": "TINA",
        "credential": "RPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "PTA870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.