Individual provider Active NPI

Abigail Grace Dudney, DPT

  • Physical Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1912636416
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6128 Issued in OK
Practice address
4008 S Yale Ave
Tulsa, OK 74135-6017
Phone
(918) 622-4278
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6128 OK Primary

Addresses

Primary practice location

4008 S Yale Ave
Tulsa, OK 74135-6017

Mailing address

PO Box 721018
Norman, OK 73070-4786
Phone (405) 809-8713

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6128OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Redbud Physical Therapy LLC CurrentSince Jun 8, 2022 Accepting new patients
Redbud Physical Therapy LLC CurrentSince Jun 8, 2022 Accepting new patients

Locations

825 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 252-0513

1118 S Main St
Grove, OK 74344
Phone (918) 786-9883

4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1912636416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721018",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704786",
            "telephone_number": "405-809-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356017",
            "telephone_number": "918-622-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDNEY",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "6128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.