Active NPI
Courtney Anne Thomas, BS, PT, MPT
- Physical Therapist
- Okc, OK
National Provider Identifier
1932986270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 615 N. Classen Boulevard
Okc, OK 73106-7440 - Phone
- (405) 808-6012
- NPI assigned
- Sep 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Pediatric Physical Therapist | 2251P0200X | 3663 | OK | |
| Pediatric Physical Therapist | 2251P0200X | 3633 | OK |
Addresses
Primary practice location
615 N. Classen Boulevard
Okc, OK 73106-7440
Mailing address
615 N. Classen Boulevard
Okc, OK 73106
Phone (405) 587-0000
Other practice location 1
615 N Classen Blvd
Oklahoma City, OK 73106-7440
Phone (405) 808-6012
Other practice location 2
615 N Classen Blvd
Oklahoma City, OK 73106-7440
Phone (405) 808-6012
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3663 | OK | MD | Pediatric Physical Therapist |
| 3633 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1932986270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N. CLASSEN BOULEVARD",
"city": "OKC",
"state": "OK",
"postal_code": "73106",
"telephone_number": "405-587-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N. CLASSEN BOULEVARD",
"city": "OKC",
"state": "OK",
"postal_code": "731067440",
"telephone_number": "405-808-6012"
}
],
"practiceLocations": [
{
"address_1": "615 N Classen Blvd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731067440",
"country_code": "US",
"telephone_number": "405-808-6012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 N Classen Blvd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731067440",
"country_code": "US",
"telephone_number": "405-808-6012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "COURTNEY",
"middle_name": "ANNE",
"credential": "BS, PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OK",
"license": "3663",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OK",
"license": "3633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okc, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.