Active NPI
Sherri Dawn Boos, P.T.
- Specialist
- Yukon, OK
National Provider Identifier
1952571887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2309 PT
- Practice address
- 1201 Health Center Pkwy
Yukon, OK 73099-6381 - Phone
- (405) 717-6980
- NPI assigned
- Mar 6, 2008
- Last updated
- Mar 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2309 | OK | MD | Registered Dietitian |
| 2309 PT | OK | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yukon Wound Care and Rehabilitation PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Yukon, OK
- NPI 1962829523
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.