Active NPI
Mary Sue Faul, DPT
- Physical Therapist
- Fort Sill, OK
National Provider Identifier
1952506297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1174123
- Practice address
- 3009 Wilson St
Ft. Sill, OK 73503-9042 - Phone
- (580) 458-2704
- NPI assigned
- Jun 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1174123 | TX | Primary |
Addresses
Primary practice location
3009 Wilson St
Ft. Sill, OK 73503-9042
Mailing address
1316 NW Sheridan Rd
PMB #156
Lawton, OK 73505-5212
Phone (210) 325-4851
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 |
|---|---|---|---|
| 1174123 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952506297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 NW SHERIDAN RD",
"address_2": "PMB #156",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055212",
"telephone_number": "210-325-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 WILSON ST",
"city": "FT. SILL",
"state": "OK",
"postal_code": "735039042",
"telephone_number": "580-458-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUL",
"first_name": "MARY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1174123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.