NPIMap

Organization Active NPI

Excel Therapy Specialists, LLC

  • Physical Therapist
  • Muskogee, OK
National Provider Identifier
1942368329
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCEL THERAPY SPECIALISTS, LLC
Practice address
536 N Main St
Muskogee, OK 74401-6345
Phone
(918) 683-8555
Fax
(918) 683-8552
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tim T MinnickNPI 1205854288
Title
President
Phone
(918) 259-9522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X OK Primary

Addresses

Primary practice location

536 N Main St
Muskogee, OK 74401-6345

Mailing address

2232 W Houston St
Broken Arrow, OK 74012-3529
Phone (918) 259-9522

National Provider Directory

National Provider Directory

Locations

1609 N Strong Blvd
McAlester, OK 74501
Phone (918) 423-9355

536 N Main St
Muskogee, OK 74401
Phone (918) 683-8555

5110 S Yale Ave
Ste 304
Tulsa, OK 74135
Phone (918) 398-7400

2424 E 21st St
Ste 400
Tulsa, OK 74114
Phone (918) 743-9235

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1942368329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123529",
            "telephone_number": "918-259-9522",
            "fax_number": "918-259-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016345",
            "telephone_number": "918-683-8555",
            "fax_number": "918-683-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-259-9522"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.