Individual provider Active NPI

Sherri Dawn Boos, P.T.

  • Specialist
  • Yukon, OK
National Provider Identifier
1952571887
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2309 PT Issued in OK
Practice address
1201 Health Center Pkwy
Yukon, OK 73099-6381
Phone
(405) 717-6980
NPI assigned
Mar 6, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2309 PT OK Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1201 Health Center Pkwy
Yukon, OK 73099-6381

Mailing address

9604 S Allen Dr
Oklahoma City, OK 73139-5303
Phone (405) 691-0491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003000825 OK Practitioner - Physical Therapist in Private Practice 3779701701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Health Ctr Pkwy
Suite 1100
Yukon, OK 73099-7752
Phone (405) 265-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2309OKMDRegistered Dietitian
2309 PTOKMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Yukon Wound Care and Rehabilitation PLLC Physical Therapist CurrentSince Mar 2, 2014 Accepting new patients

Locations

1601 Health Center Pkwy
Ste 1100
Yukon, OK 73099
Phone (405) 250-8054

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1952571887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 S ALLEN DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731395303",
            "telephone_number": "405-691-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996381",
            "telephone_number": "405-717-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOS",
        "first_name": "SHERRI",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "2309 PT",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.