Individual provider Active NPI

Janna Diane Ogle, PT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1962496216
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2785 Issued in OK
Practice address
4157 S Harvard Ave
Ste 111
Tulsa, OK 74135-2631
Phone
(918) 743-2988
Fax
(918) 743-3248
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2785 OK Primary

Addresses

Primary practice location

4157 S Harvard Ave
Ste 111
Tulsa, OK 74135-2631

Mailing address

4157 S Harvard Ave
Suite 111
Tulsa, OK 74135-2631
Phone (918) 743-2988

Other identifiers 2

IdentifierTypeStateIssuer
A002OtherOKTRICARE
9805OtherOKBLUE LINCS HMO

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
2785OKMDOptometrist
PT2785OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Consultants of Tulsa Inc Physical Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1962496216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE",
            "address_2": "SUITE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352631",
            "telephone_number": "918-743-2988",
            "fax_number": "918-743-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 S HARVARD AVE",
            "address_2": "STE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352631",
            "telephone_number": "918-743-2988",
            "fax_number": "918-743-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "JANNA",
        "middle_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINCS HMO",
            "identifier": "9805",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.