Physical Therapy Health & Sports Care, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT795 Issued in OK

Legal business name

PHYSICAL THERAPY HEALTH & SPORTS CARE, INC.

Practice address

1723 Kansas Ave
Woodward, OK 73801-2909

Phone

(580) 256-4050

Fax

(580) 256-4072

NPI assigned

Oct 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Joseph Lauderdale, P.T.NPI 1194923359

Title

Owner

Phone

(580) 256-4050

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Joseph Lauderdale I, P.T.

  • Physical Therapist
  • Woodward, OK
  • NPI 1194923359
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962588855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 KANSAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012909",
            "telephone_number": "580-256-4050",
            "fax_number": "580-256-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 KANSAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012909",
            "telephone_number": "580-256-4050",
            "fax_number": "580-256-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY HEALTH & SPORTS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUDERDALE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-256-4050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "PT795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley C Persons
• Patricia Peters
• Donald Pettey
• Phillip W Powell DDS
• Barbie Dawn Phillips, DC
• Kimberly Sue Pier, NP
• Krystan Noel Pierce
• Bradley Dale Pittman, PA-C
• Teresa A Porter, LPN
• Christy Lynn Poston, PT

• Physical Therapy Clinic/Center in Woodward, OK
• Providers in Woodward, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.