CORE PHYSICAL THERAPY LLC (NPI# 1467753913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467753913 |
| Entity Type | Organization |
| Organization Name | CORE PHYSICAL THERAPY LLC |
| Practice Address |
4705 W Urbana St Broken Arrow OK 74012-5998 |
| Practice Telephone | 9183819024 |
| Practice Fax Number | 9185186510 |
| Mailing Telephone | 9183819024 |
| Mailing Fax Number | 9185186510 |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2010-11-14 |
| Authorized Official Name | DR. TIMOTHY TOD TREGONING (OWNER) |
| Authorized Official Telephone | 9183819024 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538707260 | Core Physical Therapy LLC | Clinic/Center | 3430 S Ocean Dr, Hollywood, FL 33019-2803 | 2019-12-12 |
| 1073086914 | Core Physical Therapy LLC | Clinic/Center | 415 E Cook Rd Ste 600, Fort Wayne, IN 46825-3657 | 2019-01-03 |
| 1104396449 | Core Physical Therapy LLC | Clinic/Center | 127 Alben Barkley Dr Ste C, Paducah, KY 42001-4402 | 2018-11-29 |
| 1689177222 | Core Physical Therapy LLC | Physical Therapist | 9347 Founders St Ste A, Fort Mill, SC 29708-6417 | 2018-03-09 |
| 1356798565 | Core Physical Therapy LLC | Clinic/Center | 3007 Wakefield Dr, Blacksburg, VA 24060-8186 | 2016-05-17 |
| 1962805622 | Core Physical Therapy LLC | Clinic/Center | 443 Ne Knott St, Portland, OR 97212-3108 | 2014-10-08 |
| 1063569358 | Core Physical Therapy LLC | Physical Therapist | 14540 John Marshall Hwy, Gainesville, VA 20155-1691 | 2007-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Core Physical Therapy LLC | 3048 Renaissance Parkway, Jamestown, NC 27282-8752 |
| Street Address |
4705 W URBANA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-5998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841212479 | Mea Elizabeth Boone | Physical Therapist | 4705 W Urbana St, Suite B, Broken Arrow, OK 74012-5998 | 2006-07-24 |
| 1346749306 | Zachary Blanton | Chiropractor | 4705 W Urbana St, Broken Arrow, OK 74012 | 2018-02-06 |
| 1114344652 | Kristen Smith | Chiropractor | 4705 W Urbana St, Broken Arrow, OK 74012-5998 | 2014-03-22 |
| 1811298466 | Lori Tregoning | Physical Therapist | 4705 W Urbana St, Broken Arrow, OK 74012-5998 | 2010-11-13 |
| 1073732087 | Impact Chiropractic Clinic Inc PC | Chiropractor | 4705 W Urbana St, Broken Arrow, OK 74012-5998 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548815558 | Healthy Spine and Body, Pllc | Clinic/Center | 2017 S Elm Pl Ste 1062017s, Broken Arrow, OK 74012-7034 | 2019-08-06 |
| 1033670492 | Hyland Physical Therapy and Wellness, LLC | Clinic/Center | 800 S 9th St Ste B, Broken Arrow, OK 74012-5721 | 2019-03-28 |
| 1386900678 | Arc Therapy Services, LLC | Clinic/Center | 4001 S Aspen Ave, Broken Arrow, OK 74011-1465 | 2012-04-11 |
| 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 |
| 1417555699 | Turning Point Physical Therapy, Pllc | Clinic/Center | 913 Old Frisco Rd, Norman, OK 73069-6984 | 2020-10-11 |
| 1629684972 | Thera-brand Physical Therapy LLC | Clinic/Center | 24051 County Road 80, Perry, OK 73077-9214 | 2020-09-22 |
| 1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1942829700 | Vitality Sports Physical Therapy, LLC | Clinic/Center | 3841 Riverside Dr, Tulsa, OK 74105-3045 | 2020-04-13 |
| 1972151280 | Sooner Health Services Pt, LLC | Clinic/Center | 2401 Tee Cir Ste 207, Norman, OK 73069-6207 | 2019-08-29 |
| 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 |
| 1598238289 | Therapy Link Inc | Clinic/Center | 704 Legacy Ave, Norman, OK 73069-3214 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on CORE PHYSICAL THERAPY LLC.
| 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.