Sozo Physical Medicine LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0074731 Issued in OK

Legal business name

SOZO PHYSICAL MEDICINE LLC

Doing business as

SOZO PHYSICAL MEDICINE

Practice address

2000 N Classen Blvd
Suite S. 100
Oklahoma City, OK 73106-6016

Phone

(405) 601-7033

Fax

(405) 602-1939

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Whitney Autumn Williams

Title

Owner

Phone

(405) 448-8385

Specialties & licenses 2

Addresses

Other names 1

• SOZO PHYSICAL MEDICINE Doing business as

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1982139937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N CLASSEN BLVD",
            "address_2": "SUITE S. 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066016",
            "telephone_number": "405-601-7033",
            "fax_number": "405-602-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N CLASSEN BLVD",
            "address_2": "SUITE S. 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066016",
            "telephone_number": "405-601-7033",
            "fax_number": "405-602-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "AUTUMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-448-8385"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4123",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0074731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOZO PHYSICAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karli Mathis Spann

• Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.