DR. TRACY L. STANDRIDGE (NPI# 1184798050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184798050 |
| Entity Type | Individual |
| Full Name | DR. TRACY L. STANDRIDGE |
| Credential | D.C. |
| Practice Address |
12707 East 86th Street North Owasso OK 74055 |
| Practice Telephone | 9182727432 |
| Practice Fax Number | 9182727448 |
| Mailing Telephone | 9182727432 |
| Mailing Fax Number | 9182727448 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2448 | OK | Chiropractic Providers |
| Street Address |
12707 EAST 86TH STREET NORTH |
| City | OWASSO |
| State | OK |
| Zip Code | 74055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891860615 | Structural Rehab | Physical Medicine & Rehabilitation | 12707 East 86th Street North, Owasso, OK 74055 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033271655 | Standridge Clinic Inc | Chiropractor | 12707 E 86th St N, Owasso, OK 74055-2506 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030270 | Tulsa Chiropractic Rehab, LLC | Chiropractor | 8252 S Harvard Ave, Suite 155, Tulsa, OK 74137-1646 | 2017-01-23 |
| 1093025652 | Southwest Knee & Shoulder Center, Pllc. | Chiropractor | 7796 Us Highway 277, Elgin, OK 73538-2131 | 2010-10-18 |
| 1770893307 | Scott Jenkins | Chiropractor | 101 Thoma Dr, Suite D, Elgin, OK 73538-2204 | 2010-10-17 |
| 1609193317 | Chi-med Leasing, Inc. | Chiropractor | 204a S Grand St, Grove, OK 74344-3225 | 2010-04-21 |
| 1669650412 | Beverly Larosa Glinsky | Chiropractor | 1712 S Post Rd, Ste B, Midwest City, OK 73130-6613 | 2008-02-04 |
| 1215115068 | Joshua Layne Koch | Chiropractor | 1712 S Post Rd Ste B, Midwest City, OK 73130-6614 | 2008-02-04 |
| 1740466317 | Hai Tien | Chiropractor | 4609 N Classen Blvd, Oklahoma City, OK 73118-4815 | 2008-01-14 |
| 1255528808 | Advanced Spinal Health LLC | Chiropractor | 6670 S Lewis Ave Ste 102, Tulsa, OK 74136-1033 | 2007-09-27 |
| 1508063116 | Warren Robert Blishen | Chiropractor | 1001 W Memorial Rd, Ste 12, Oklahoma City, OK 73114-2000 | 2007-06-27 |
| 1427119478 | Timothy Joshua Nix | Chiropractor | 231 E Gray St, Norman, OK 73069-7205 | 2006-12-13 |
| 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.