PARK RIDGE PHYSICAL THERAPY, P.C. (NPI# 1720138753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720138753 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE PHYSICAL THERAPY, P.C. |
| Practice Address |
1401 Sw Parkridge Blvd Suite A Lawton OK 73505 |
| Practice Telephone | 5802485668 |
| Practice Fax Number | 5802480785 |
| Mailing Telephone | 5802485668 |
| Mailing Fax Number | 5802480785 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | MS. LEONOR WATKINS (PHYSICAL THERAPIST-OWNER) |
| Authorized Official Telephone | 5802485668 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2643 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100848830A | 05 |
| Street Address |
1401 SW PARKRIDGE BLVD SUITE A |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649413865 | Dexter De Guzman Decano | Physical Therapist | 1401 Sw Parkridge Blvd, Suite A, Lawton, OK 73505-7575 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621291 | James Iverson IIi | Physical Therapist | 6921 W Gore Blvd Apt 601, Lawton, OK 73505-5369 | 2020-05-21 |
| 1417496324 | Valir Outpatient Clinic #16 LLC | Physical Therapist | 4645 W Gore Blvd Ste E, Lawton, OK 73505-5962 | 2017-02-13 |
| 1215316377 | Matthew Godfrey | Physical Therapist | 2223 Sw 54th St, Lawton, OK 73505 | 2015-05-22 |
| 1326473554 | Jacquelynn Michelle Saravane | Physical Therapist | 3207 Se Coachman Pl, Lawton, OK 73501-6337 | 2013-09-06 |
| 1073872925 | Hernan Emilio Sandoval | Physical Therapist | 3146 Nw Cache Rd Apt 210, Lawton, OK 73505-3856 | 2012-05-14 |
| 1215265608 | Michelle Sandra Spross | Physical Therapist | 3614 Ne Willow Way, Lawton, OK 73507-4200 | 2009-11-24 |
| 1609033414 | Ruth M Ross | Physical Therapist | 2716 West Gore Blvd, Suite D, Lawton, OK 73505 | 2008-05-20 |
| 1346413390 | Jason M Dipprey | Physical Therapist | 1354 Nw Homestead Dr, Lawton, OK 73505-5223 | 2008-04-10 |
| 1346425675 | Vicki Brooks-stinson | Physical Therapist | 22 Nw Shelter Lake Dr, Lawton, OK 73505-3739 | 2008-01-05 |
| 1447445374 | Tammy Lynn Fetzer | Physical Therapist | 102 E Gore Blvd, Lawton, OK 73501-3025 | 2007-09-13 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on PARK RIDGE PHYSICAL THERAPY, P.C..
| 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.