NPI 1639373574 · live from the CMS NPI Registry
Ryan Douglas Ade, P.T., A.T.C.
Physical Therapist in Frederick, OK. National Provider Identifier 1639373574, active.
NPI record
| NPI | 1639373574 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1500 N 10th St, Frederick, OK 73542 |
| Practice phone | 580-335-6642 |
| Mailing address | 800 Nw 6th St, Oklahoma City, OK 73106 |
| Enumerated | June 13, 2007 |
| Last updated | February 8, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 431 (OK) |
| Physical Therapist primary | 225100000X | 3077 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.