Individual provider Active NPI

Brandi Chanelle Woods, P.T.A.

  • Physical Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1952516114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
804 Issued in OK
Practice address
6400 N Santa Fe Ave
Ste. B
Oklahoma City, OK 73116-9126
Phone
(405) 840-2903
Fax
(405) 840-3256
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 804 OK Primary

Addresses

Primary practice location

6400 N Santa Fe Ave
Ste. B
Oklahoma City, OK 73116-9126

Mailing address

11000 NW 102ND St
Yukon, OK 73099-8398
Phone (405) 283-0285

Other names 1

  • Miss Brandi Chanelle Christian Former name

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

LicenseStateTypeSpecialty
804OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Function, 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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952516114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 NW 102ND ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998398",
            "telephone_number": "405-283-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N SANTA FE AVE",
            "address_2": "STE. B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169126",
            "telephone_number": "405-840-2903",
            "fax_number": "405-840-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "BRANDI",
        "middle_name": "CHANELLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "CHRISTIAN",
            "middle_name": "CHANELLE",
            "prefix": "MISS",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, 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.

Verify at the official NPI Registry.