Individual provider Active NPI

Stephannie S White, P.T.

  • Physical Therapist
  • Tecumseh, OK
National Provider Identifier
1962837872
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2603 Issued in OK
Practice address
503 N Broadway St
Tecumseh, OK 74873-2017
Phone
(405) 598-2899
Fax
(405) 598-2833
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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 PT2603 OK Primary

Addresses

Primary practice location

503 N Broadway St
Tecumseh, OK 74873-2017

Mailing address

310 E Tennyson Ave
Tecumseh, OK 74873-4626
Phone (405) 742-8430

Other practice location 1

19629 NE 23rd St
Harrah, OK 73045-9305
Phone (405) 454-0010

Other identifiers 1

IdentifierTypeStateIssuer
PT2603OtherOKPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000675 OK Practitioner - Physical Therapist in Private Practice 9436477817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy LLCGroup PAC ID 4183634561, 6 clinicians

Practice addresses (Care Compare)

5002 S Anderson Rd
Oklahoma City, OK 73150-3808
Phone (405) 732-0500

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
99.06
Improvement activities
40
Cost
50.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2603OKMDOptometrist
PT2603OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
PTMS 3.0, LLC Physical Therapist Current Accepting new patients
Precision Physical Therapy LLC Physical Therapist CurrentSince Jan 16, 2021 Accepting new patients

Locations

19629 NE 23rd St
Harrah, OK 73045
Phone (405) 390-4433

20208 NE 23rd St
Harrah, OK 73045
Phone (405) 454-0010

440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600

5002 S Anderson Rd
Oklahoma City, OK 73150
Phone (405) 454-0010

3930 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 585-0035

Organizations & group practices 3

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1962837872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E TENNYSON AVE",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748734626",
            "telephone_number": "405-742-8430",
            "fax_number": "405-598-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N BROADWAY ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748732017",
            "telephone_number": "405-598-2899",
            "fax_number": "405-598-2833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19629 NE 23rd St",
            "address_purpose": "LOCATION",
            "city": "Harrah",
            "state": "OK",
            "postal_code": "730459305",
            "country_code": "US",
            "telephone_number": "405-454-0010",
            "fax_number": "405-454-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANNIE",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT2603",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.