Active NPI
Stephannie S White, P.T.
- Physical Therapist
- Tecumseh, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT2603 | Other | OK | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
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
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 100
- Quality
- 99.06
- Improvement activities
- 40
- Cost
- 50.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2603 | OK | MD | Optometrist |
| PT2603 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| Precision Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Harrah, OK
- NPI 1578675070
-
- Physical Therapist
- Norman, OK
- NPI 1942690375
-
- Physical Therapist
- Bethany, OK
- NPI 1972056786
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.