NPI 1114465747 · live from the CMS NPI Registry
Jared Baldwin
Physical Therapist in Midwest City, OK. National Provider Identifier 1114465747, active.
NPI record
| NPI | 1114465747 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 9221 Harmony Dr, Midwest City, OK 73130 |
| Practice phone | 405-869-0700 |
| Mailing address | 1101 Se 12th St, Moore, OK 73160 |
| Enumerated | February 2, 2017 |
| Last updated | February 2, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5251 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.