Yukon Wound Care and Rehabilitation PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

YUKON WOUND CARE AND REHABILITATION PLLC

Practice address

1808 Commons Circle
Ste B
Yukon, OK 73099

Phone

(405) 265-2255

Fax

(405) 265-2215

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri D BoosNPI 1952571887

Title

Owner

Phone

(405) 990-6023

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherri Dawn Boos, P.T.

  • Specialist
  • Yukon, OK
  • NPI 1952571887

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1962829523",
    "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": "405-990-6023",
            "fax_number": "405-265-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COMMONS CIRCLE",
            "address_2": "STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-265-2255",
            "fax_number": "405-265-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON WOUND CARE AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "BOOS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-990-6023",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200535190A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200134990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yukon Pediatrics Behavioral Health L.L.C.
• Yukon Pharmacy Inc
• Yukon Public
• Yukon RX Inc.
• Yukon Wound Care and Home Health LLC
• Giselle Zagari Stuppiello, MD
• Armin Zarkeshan, DD
• Stephen Philip Zrenda, DO

• Physical Therapist in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.