Individual provider Active NPI

Amy Elizabeth Garner, PT

  • Physical Therapist
  • Mannford, OK
National Provider Identifier
1922300052
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2674 Issued in OK
Practice address
103 Phelps Blvd
Mannford, OK 74044
Phone
(918) 865-7020
Fax
(918) 865-7039
NPI assigned
Nov 22, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 2674 OK Primary

Addresses

Primary practice location

103 Phelps Blvd
Mannford, OK 74044

Mailing address

PO Box 361
Mannford, OK 74044-0361
Phone (918) 865-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000537 OK Practitioner - Physical Therapist in Private Practice 5092991141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2674OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Cleveland Area Hospital Holdings, Inc. Past Accepting new patients
Results Therapy Services LLC Physical Therapist Past Accepting new patients

Locations

1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501

Organizations & group practices 4

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1922300052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "740440361",
            "telephone_number": "918-865-7020",
            "fax_number": "918-865-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PHELPS BLVD",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "74044",
            "telephone_number": "918-865-7020",
            "fax_number": "918-865-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT 2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mannford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.