WALKER SQUARE THERAPY LLC (NPI# 1982106837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982106837 |
| Entity Type | Organization |
| Organization Name | WALKER SQUARE THERAPY LLC |
| Practice Address |
309 Sw 59th St Ste 305 Oklahoma City OK 73109-8324 |
| Mailing Address |
4334 Nw Expressway Ste 187 Oklahoma City OK 73116-1515 |
| Practice Telephone | 4053553239 |
| Mailing Telephone | 4053553239 |
| Mailing Fax Number | 4052124270 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | DOUGLAS EDWIN BROWN JR. (PRESIDENT) |
| Authorized Official Telephone | 4053553239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
309 SW 59TH ST STE 305 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-8324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434141 | Priscilla Phillips | Speech-Language Pathologist | 309 Sw 59th St Ste 305, Oklahoma City, OK 73109-8324 | 2017-08-29 |
| 1346855467 | Bryanna Montana Smith | Occupational Therapy Assistant | 309 Sw 59th St Ste 305, Oklahoma City, OK 73109-8324 | 2020-09-15 |
| 1255941969 | Tierra Lashawn Fultz Takyi-micah | Physical Therapist | 309 Sw 59th St Ste 305, Oklahoma City, OK 73109-8324 | 2020-08-06 |
| 1881240620 | Megan Kirchner | Speech-Language Pathologist | 309 Sw 59th St Ste 305, Oklahoma City, OK 73109-8324 | 2019-08-16 |
| 1922526805 | Kelli Swain | Speech-Language Pathologist | 309 Sw 59th St Ste 305, Oklahoma City, OK 73109-8324 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1851854368 | Physical Therapy Services, LLC | Clinic/Center | 200 N Classen Blvd, Oklahoma City, OK 73106-7627 | 2019-04-11 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1841659463 | Peak Solutions, LLC | Clinic/Center | 9400 N Broadway, Suite 120, Oklahoma City, OK 73114-7451 | 2016-02-11 |
| 1548538655 | Functional Performance Training and Physical Therapy, Pllc | Clinic/Center | 13512 N Eastern Ave, Suite A, Oklahoma City, OK 73131-1812 | 2011-12-02 |
| 1881998870 | Performax Therapy Services | Clinic/Center | 4334 Nw Expressway Ste 176, Oklahoma City, OK 73116-1550 | 2011-01-05 |
| 1750691226 | Five Star Physical Therapy and Sport Medicine, LLC | Clinic/Center | 6801 Norht Classen Blvd., Suite #b, Oklahoma City, OK 73116 | 2010-10-18 |
| 1073777991 | Rehabsource-therapy At Work, LLC | Clinic/Center | 4141 Nw Expressway Ste 325, Oklahoma City, OK 73116-1675 | 2008-07-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.