Individual
GAE CAPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2574
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200064620A
MEDICAID LEGACY
OK
05
—
200064620A
—
OK
01
—
248508015
MEDICARE LEGACY
OK
01
—
7735612
AETNA
OK
01
—
P00291955
MEDICARE RAILROAD
OK
Enumeration date
10/12/2005
Last updated
06/20/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up