NPI 1245830504 · live from the CMS NPI Registry
Advanced Physical Therapy
Physical Therapist in Tulsa, OK. National Provider Identifier 1245830504, active.
NPI record
| NPI | 1245830504 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5711 E 71st St Ste 100, Tulsa, OK 74136 |
| Practice phone | 918-888-8080 |
| Enumerated | October 27, 2020 |
| Last updated | October 27, 2020 |
| Authorized official | Trey Marler, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.