OKLAHOMA MANUAL THERAPY ASSOCIATES, PLLC (NPI# 1881699130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881699130 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA MANUAL THERAPY ASSOCIATES, PLLC |
| Other Organization Name | CORE PHYSICAL THERAPY |
| Practice Address |
1410 Fretz Dr Edmond OK 73003-5782 |
| Practice Telephone | 4052858477 |
| Practice Fax Number | 4052858499 |
| Mailing Telephone | 4052858477 |
| Mailing Fax Number | 4052858499 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. MICHAEL SHANE SIMS (CO-OWNER/ PHYSICAL THERAPY) |
| Authorized Official Telephone | 4052858477 |
| Authorized Official Credential | MPT, OCS, FAAOMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| CORE Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1410 FRETZ DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-5782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285006189 | Grayson Neal Starbuck | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5872 | 2015-10-30 |
| 1144655960 | Aaron R Mora | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2013-09-11 |
| 1578671889 | Michelle Gottschalk | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2006-08-27 |
| 1528046596 | Michael Shane Sims | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2006-01-09 |
| 1225016728 | Tyler Emerson Pomeroy | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629339718 | Kathy Sue Bonar | Physical Therapist | 3500 S Boulevard Ste A1, Edmond, OK 73013-5486 | 2012-06-05 |
| 1720178650 | Debra Sue Clark | Physical Therapist | 3500 S Boulevard, Suite A, Edmond, OK 73013-5490 | 2006-10-13 |
| 1144655960 | Aaron R Mora | Physical Therapist | 1410 Fretz Dr, Edmond, OK 73003-5782 | 2013-09-11 |
| 1346275740 | Emily Rae Pomeroy | Physical Therapist | 416 W 15th St, Suite 100, Edmond, OK 73013-3747 | 2006-07-12 |
| 1265430268 | Tamara Lynn Brinlee | Physical Therapist | 400 N Bryant Ave, Edmond, OK 73034-3206 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510843 | Premier Physical Therapy LLC | Physical Therapist | 3333 W Hefner Rd Ste D, Oklahoma City, OK 73120-5060 | 2020-08-29 |
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1457960718 | Ryoki Aoki | Physical Therapist | 2270 N Perkins Rd # 245, Stillwater, OK 74075-3078 | 2020-07-23 |
| 1952927816 | Juliana Joy Lackey | Physical Therapist | 1211 N Shartel Ave Ste 801, Oklahoma City, OK 73103-2425 | 2020-06-17 |
| 1285258202 | Rachel Christine Carroll | Physical Therapist | 1876 Utica Sq Ste 1b, Tulsa, OK 74114-1452 | 2020-06-05 |
| 1205491776 | Thrive Physio and Performance, LLC | Physical Therapist | 4201 Ne 116th St, Oklahoma City, OK 73131-4413 | 2019-05-09 |
| 1265819221 | Kailey N. Limber | Physical Therapist | 3327 Nw 50th, Oklahoma City, OK 73112 | 2015-04-29 |
| 1457784712 | Christopher Martin Ritchie | Physical Therapist | 613 Hillcrest St, Muskogee, OK 74403-8589 | 2013-08-09 |
| 1649549056 | Mainstream Physical Therapy L.L.C. | Physical Therapist | 30352 S Vfw Rd, Stigler, OK 74462-3606 | 2011-12-14 |
| 1316228380 | Rae Lynn Foster | Physical Therapist | 4812 S. 109th. E. Ave., Suite 300, Tulsa, OK 74146-5822 | 2011-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.