Organization Active NPI

Human Performance Center PC

Doing business as Woodward Physical Therapy PC

  • Physical Therapist
  • Woodward, OK
National Provider Identifier
1952410128
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2226 Issued in OK
Legal business name
HUMAN PERFORMANCE CENTER PC
Doing business as
Woodward Physical Therapy PC
Practice address
1125 40TH St
Suite D
Woodward, OK 73801-1700
Phone
(580) 256-2102
Fax
(580) 256-1410
NPI assigned
Aug 30, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Steve W Nelson, PT
Title
Owner
Phone
(580) 256-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2226 OK Primary

Addresses

Primary practice location

1125 40TH St
Suite D
Woodward, OK 73801-1700

Mailing address

PO Box 1007
Woodward, OK 73802-1007
Phone (580) 256-2102

Other names 1

  • Woodward Physical Therapy PC Doing business as

National Provider Directory

National Provider Directory

Locations

1125 40th St
Ste D
Woodward, OK 73801
Phone (580) 254-2258

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1952410128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738021007",
            "telephone_number": "580-256-2102",
            "fax_number": "580-256-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 40TH ST",
            "address_2": "SUITE D",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738011700",
            "telephone_number": "580-256-2102",
            "fax_number": "580-256-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-256-2102",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodward Physical Therapy PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.