NPI 1346779550 · live from the CMS NPI Registry
Jacob Barton, PT, DPT
Physical Therapist in Tahlequah, OK. National Provider Identifier 1346779550, active.
NPI record
| NPI | 1346779550 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 100 S Bliss Ave, Tahlequah, OK 74464 |
| Practice phone | 918-458-3260 |
| Mailing address | 3749 Southridge Cir Apt 7, Tahlequah, OK 74464 |
| Enumerated | June 9, 2017 |
| Last updated | June 9, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5286 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.