Brandon Ray Lewelling, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4569 Issued in OK

Practice address

1716 N Harper Rd
Choctaw, OK 73020-8512

Phone

(405) 281-5785

Fax

(405) 281-5786

NPI assigned

Apr 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oklahoma Physical Therapy ChoctawGroup PAC ID 4284861170, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oklahoma Physical Therapy Choctaw

  • Physical Therapist
  • Choctaw, OK
  • NPI 1285061606
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1992148928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 N HARPER RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208512",
            "telephone_number": "405-281-5785",
            "fax_number": "405-281-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 N HARPER RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208512",
            "telephone_number": "405-281-5785",
            "fax_number": "405-281-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLING",
        "first_name": "BRANDON",
        "middle_name": "RAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leslie Katharine Rogers
• Lewis & Lewis Eye Care Clinic, P. C.
• Larry Joe Lewis, O.D.
• Stephanie Lewis, LMSW
• Terry Neal Lewis, O.D.
• Dusharme Llanusa, MLA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.