Individual provider Active NPI

Rachel Hazewinkel, APT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1932338910
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4260 Issued in OK
Practice address
10001 S Western Ave
Oklahoma City, OK 73139-2997
Phone
(405) 691-5434
Fax
(405) 692-3703
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 4260 OK Primary

Addresses

Primary practice location

10001 S Western Ave
Oklahoma City, OK 73139-2997

Mailing address

10001 S Western Ave
102
Oklahoma City, OK 73139-2997
Phone (405) 691-5434

Other identifiers 1

IdentifierTypeStateIssuer
200097800AMedicaidOK

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
4260OKMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1932338910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE",
            "address_2": "102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392997",
            "telephone_number": "405-691-5434",
            "fax_number": "405-692-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392997",
            "telephone_number": "405-691-5434",
            "fax_number": "405-692-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEWINKEL",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "APT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200097800A",
            "state": "OK"
        }
    ],
    "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 Apr 20, 2010; 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.