Individual provider Active NPI

Vicky Butler, P.T.

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1932498615
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
787 Issued in OK
Practice address
6400 N Santa Fe Ave
Ste. B
Oklahoma City, OK 73116-9126
Phone
(405) 840-2903
Fax
(405) 840-3256
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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 787 OK Primary

Addresses

Primary practice location

6400 N Santa Fe Ave
Ste. B
Oklahoma City, OK 73116-9126

Mailing address

3724 Hidden Hill Rd
Norman, OK 73072-3031
Phone (405) 206-2145

Other names 1

  • Miss Vicky Stanford Former name

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
787OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Function, Inc. Physical Therapist Past 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, 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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1932498615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 HIDDEN HILL RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723031",
            "telephone_number": "405-206-2145",
            "fax_number": "405-840-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N SANTA FE AVE",
            "address_2": "STE. B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169126",
            "telephone_number": "405-840-2903",
            "fax_number": "405-840-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "VICKY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "STANFORD",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 1, 2011; 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.