NPI 1205385200 · live from the CMS NPI Registry
Derek Adcox, PT
Physical Therapist in Edmond, OK. National Provider Identifier 1205385200, active.
NPI record
| NPI | 1205385200 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 19205 Greenery Ln, Edmond, OK 73012 |
| Practice phone | 405-473-8176 |
| Enumerated | October 2, 2016 |
| Last updated | October 2, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 4024 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.