Organization Active NPI

Ada Medical Inc

Doing business as Ada Physical Therapy

  • Physical Therapist
  • Ada, OK
National Provider Identifier
1972050052
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2326 Issued in OK
Legal business name
ADA MEDICAL INC
Doing business as
Ada Physical Therapy
Practice address
1414 Arlington Street
Suite 2300
Ada, OK 74820
Phone
(580) 332-3353
Fax
(580) 332-3053
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dusty Dennis, PT
Title
Pres
Phone
(580) 332-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2326 OK Primary

Addresses

Primary practice location

1414 Arlington Street
Suite 2300
Ada, OK 74820

Mailing address

15269 County Road 3610
Ada, OK 74820
Phone (580) 332-3353

Other identifiers 1

IdentifierTypeStateIssuer
1427293448OtherOKNPI

Other names 1

  • Ada Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1414 Arlington St
Ste 2300
Ada, OK 74820
Phone (405) 332-0112

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1972050052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15269 COUNTY ROAD 3610",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-332-3353",
            "fax_number": "580-332-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 ARLINGTON STREET",
            "address_2": "SUITE 2300",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-332-3353",
            "fax_number": "580-332-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "580-332-3353",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427293448",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.