Individual provider Active NPI

Patrick T O'Reilly, D.C.

  • Chiropractor
  • Muskogee, OK
National Provider Identifier
1962543421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3383 Issued in OK
Practice address
3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2210
Phone
(918) 682-2225
Fax
(918) 682-2234
NPI assigned
Feb 9, 2007
Sex
Male
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
Chiropractor 111N00000X 3383 OK Primary

Addresses

Primary practice location

3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2210

Mailing address

3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2210
Phone (918) 682-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000191 OK Practitioner - Chiropractic 2961683735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2215
Phone (918) 682-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
O'Reilly Chiropractic P.C. Chiropractor CurrentSince Jan 20, 2001 Accepting new patients

Locations

3103 Azalea Park Dr
Ste C
Muskogee, OK 74401
Phone (918) 682-2225

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962543421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 AZALEA PARK DR",
            "address_2": "SUITE C",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012210",
            "telephone_number": "918-682-2225",
            "fax_number": "918-682-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 AZALEA PARK DR",
            "address_2": "SUITE C",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012210",
            "telephone_number": "918-682-2225",
            "fax_number": "918-682-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, 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.
  • 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.