GUYMON PHYSICAL THERAPY AND WELLNESS PLLC (NPI# 1790048882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790048882 |
| Entity Type | Organization |
| Organization Name | GUYMON PHYSICAL THERAPY AND WELLNESS PLLC |
| Practice Address |
211 Nw 5th St Guymon OK 73942-5801 |
| Practice Telephone | 5803384789 |
| Practice Fax Number | 8669990184 |
| Mailing Telephone | 5803384789 |
| Mailing Fax Number | 8669990184 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | JACOB LEE TUTTLE (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9182235075 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1929 | OK | Ambulatory Health Care Facilities |
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
3766 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CAQH | 12413288 | 01 |
| OK | 200459990A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | GUYMON PHYSICAL THERAPY AND WELLNESS PLLC | 6211 Lakeview Dr, Guymon, OK 73942 |
| Street Address |
211 NW 5TH ST |
| City | GUYMON |
| State | OK |
| Zip Code | 73942-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993990 | Lance Quintana | Chiropractor | 211 Nw 5th St, Guymon, OK 73942-4203 | 2019-10-16 |
| 1487117040 | Amy Marie Nickson Taylor | Occupational Therapy Assistant | 211 Nw 5th St, Guymon, OK 73942-4203 | 2019-04-10 |
| 1003331844 | Kyrie A Mckee | Physical Therapist | 211 Nw 5th St, Guymon, OK 73942-4203 | 2017-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824219 | Joni R Loughridge | Behavior Technician | 1521 Hwy 54 N, 1521 Hwy 54 N, Guymon, OK 73942 | 2019-04-10 |
| 1457839151 | Cassandra J Hegwood | Social Worker | 1521 Hwy 54 N., Guymon, OK 73942 | 2018-08-03 |
| 1083152110 | Charlie A Bell | Counselor | 1521 Highway 54 N., P.o. 1247, Guymon, OK 73942 | 2017-02-09 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1295088961 | Steven Macias | Counselor | 305 Nw 5th, Guymon, OK 73942 | 2012-10-18 |
| 1588982946 | Maria R. Reyes | Counselor | 306 N.w. 5th St., Guymon, OK 73942 | 2010-05-11 |
| 1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 1245449339 | Judy Clemans | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| 1992828776 | United Discount Drug of Guymon, Inc. | Durable Medical Equipment & Medical Supplies | 1902 N. Academy Street, Guymon, OK 73942 | 2007-04-09 |
| Find all providers in zip 73942 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992052831 | Lynette Helm | Clinic/Center | 302 Northridge Circle, Guymon, OK 73942 | 2012-08-09 |
| 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 |
| 1548815558 | Healthy Spine and Body, Pllc | Clinic/Center | 2017 S Elm Pl Ste 1062017s, Broken Arrow, OK 74012-7034 | 2019-08-06 |
| 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 |
| 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.