Active NPI
Thuresa Gaylene Patterson, PHYSICAL THERAPIS
- Physical Therapist
- Durant, OK
National Provider Identifier
1932632288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 649
- Practice address
- 1524 Chuckwa Dr
Durant, OK 74701-2142 - Phone
- (580) 740-0261
- Fax
- (580) 924-1651
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 649 | OK | Primary |
Addresses
Primary practice location
1524 Chuckwa Dr
Durant, OK 74701-2142
Mailing address
1524 Chuckwa Dr
Durant, OK 74701-2142
Phone (580) 740-0261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 649 | OK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1932632288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 CHUCKWA DR",
"city": "DURANT",
"state": "OK",
"postal_code": "747012142",
"telephone_number": "580-740-0261",
"fax_number": "580-924-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 CHUCKWA DR",
"city": "DURANT",
"state": "OK",
"postal_code": "747012142",
"telephone_number": "580-740-0261",
"fax_number": "580-924-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "THURESA",
"middle_name": "GAYLENE",
"credential": "PHYSICAL THERAPIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.