MRS. JOANNE R WALKUP (NPI# 1972645836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972645836 |
| Entity Type | Individual |
| Full Name | MRS. JOANNE R WALKUP |
| Credential | PT |
| Practice Address |
1024 Nw 47th St Oklahoma City OK 73118-6400 |
| Mailing Address |
6804 Old Orchard Ln Oklahoma City OK 73132-3902 |
| Practice Telephone | 4056509405 |
| Practice Fax Number | 4056062008 |
| Mailing Telephone | 4057229736 |
| Mailing Fax Number | 4057229736 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1204 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100645000A | 05 | |
| OK | HEALTH CHOICE | 1972645836 | 01 |
| OK | BLUE CROSS BLUE SHIELD | 1972645836 | 01 |
| OK | MEDICAID DME | 100645000D | 01 |
| Street Address |
1024 NW 47TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336194307 | Laurie Ann Kukas | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 | 2006-05-24 |
| 1174941512 | Great Changes Resource Center Pllc | Occupational Therapist | 1024 Nw 47th St, Suite C, Oklahoma City, OK 73118-6400 | 2014-04-02 |
| 1154632610 | Laurie A. Kukas, D. O. Faap | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6400 | 2010-06-29 |
| 1821268491 | Teresa Irene Ewing | Physical Therapist | 1024 Nw 47th St, Suite D, Oklahoma City, OK 73118-6400 | 2008-03-10 |
| 1407036577 | Michelle D Eskew | Speech-Language Pathologist | 1024 Nw 47th St, Suite D, Oklahoma City, OK 73118-6400 | 2007-11-06 |
| 1609060540 | Physical Rehabilitation Associates Pllc | Physical Therapist | 1024 Nw 47th St, Suite D, Oklahoma City, OK 73118-6400 | 2007-09-04 |
| 1134174113 | Barbara Marie Prater | Occupational Therapist | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871878868 | Beverly K. Fentress | Physical Therapist | 6112 Winchester Dr, Oklahoma City, OK 73162-1719 | 2011-10-21 |
| 1487972469 | Mary B Pickett | Physical Therapist | 11309 Shady Glen Rd, Oklahoma City, OK 73162-3435 | 2010-05-14 |
| 1578772414 | Barbara Lynn Fogarty Peters | Physical Therapist | 9031 Sw 29th St, Oklahoma City, OK 73179-2818 | 2007-05-21 |
| 1295940203 | Audrey Lynn Fluitt | Physical Therapist | 5300 N Independence Ave, Ste 100, Oklahoma City, OK 73112-5556 | 2007-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630793 | Achieve Pediatric Physical Therapy | Physical Therapist | 2265 S Saint Louis Ave, Tulsa, OK 74114-1347 | 2020-08-17 |
| 1962029967 | Pediatric Physical Therapy of Bartlesville | Physical Therapist | 548 Se Washington Blvd, Bartlesville, OK 74006-8231 | 2020-06-25 |
| 1033754882 | Heather Williams | Physical Therapist | 117 W 5th St Ste 1, Bartlesville, OK 74003-6651 | 2019-11-14 |
| 1699179077 | Elizabeth Smith | Physical Therapist | 7686 Stone Valley Cir, Edmond, OK 73034-9564 | 2014-10-14 |
| 1154732915 | Kerry Mcclure, LLC | Physical Therapist | 2300 N Broadway St, Poteau, OK 74953-2009 | 2014-05-14 |
| 1427301852 | Guymon Public Schools | Physical Therapist | 801 N Beaver St, Guymon, OK 73942-3722 | 2012-10-23 |
| 1730373556 | Amanda Scott Caperton | Physical Therapist | 5505 E 107th St, Tulsa, OK 74137-7291 | 2007-09-05 |
| 1750589081 | Shanna Rae Gray | Physical Therapist | 4010 Blaine Rd, Shawnee, OK 74804-1626 | 2007-07-09 |
| 1598962748 | Carla Dee Garling | Physical Therapist | 6295 E Robinson St, Norman, OK 73026-3523 | 2007-06-29 |
| 1154538445 | Gary R Robinson | Physical Therapist | One Murray Campus, Nah #108, Tishomingo, OK 73460-0391 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.