Individual provider Active NPI

Anthony Joseph Sylvester, PT

  • Physical Therapist
  • Owasso, OK
National Provider Identifier
1942217039
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1980 Issued in OK
Practice address
12455 E 100TH St N Ste 120
Owasso, OK 74055
Phone
(918) 609-8786
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 PT1980 OK Primary

Addresses

Primary practice location

12455 E 100TH St N Ste 120
Owasso, OK 74055

Mailing address

12455 E 100TH St N Ste 120
Owasso, OK 74055-4675
Phone (918) 609-8786

Other practice location 1

115 E Broadway St
Drumright, OK 74030-3801
Phone (918) 352-3838

Other practice location 2

115 E Broadway St
Drumright, OK 74030-3801
Phone (918) 352-3838

Other identifiers 2

IdentifierTypeStateIssuer
100744020AMedicaidOK
100835460AMedicaidOK

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
1980OKMDSocial Worker
PT1980OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Physical Therapy Inc Physical Therapist Past Accepting new patients
Drumright Medical Clinic, PLLC PastSince Aug 1, 2005 Accepting new patients
Osu Health System Anesthesia Past Accepting new patients

Organizations & group practices 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1942217039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N STE 120",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554675",
            "telephone_number": "918-609-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N STE 120",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-609-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Drumright",
            "state": "OK",
            "postal_code": "740303801",
            "country_code": "US",
            "telephone_number": "918-352-3838",
            "fax_number": "918-352-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Drumright",
            "state": "OK",
            "postal_code": "740303801",
            "country_code": "US",
            "telephone_number": "918-352-3838",
            "fax_number": "918-352-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744020A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100835460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.