Active NPI
James Eddy II, PT, DPT
- Physical Therapist
- Edmond, OK
National Provider Identifier
1952032567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6140
- Practice address
- 2017 W I 35 Frontage Rd Ste 220
Edmond, OK 73013-8560 - Phone
- (405) 757-3380
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- Sex
- Male
- 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 | 6140 | OK | Primary |
Addresses
Primary practice location
2017 W I 35 Frontage Rd Ste 220
Edmond, OK 73013-8560
Mailing address
800 N Oklahoma Ave Apt 1407
Oklahoma City, OK 73104-4403
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 |
|---|---|---|---|
| 6140 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Oklahoma City, Inc | 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.
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1952032567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N OKLAHOMA AVE APT 1407",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 W I 35 FRONTAGE RD STE 220",
"city": "EDMOND",
"state": "OK",
"postal_code": "730138560",
"telephone_number": "405-757-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.