NPI 1609659986 · live from the CMS NPI Registry
Wayne Beachy, PT
Physical Therapist in Tulsa, OK. National Provider Identifier 1609659986, active.
NPI record
| NPI | 1609659986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3800 W 71st St, Tulsa, OK 74132 |
| Practice phone | 918-202-8645 |
| Mailing address | Po Box 1680, Broken Arrow, OK 74013 |
| Enumerated | August 18, 2023 |
| Last updated | August 18, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 1160 (AR) |
| Physical Therapist primary | 225100000X | 1836 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.