NPI 1679172993 · live from the CMS NPI Registry
Abc Pediatric Rehab LLC
Clinic/Center, Physical Therapy in Oklahoma City, OK. National Provider Identifier 1679172993, active.
NPI record
| NPI | 1679172993 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Physical Therapy 261QP2000X |
| Practice location | 508 W I 240 Service Rd, Oklahoma City, OK 73139 |
| Practice phone | 405-724-9303 |
| Mailing address | 1808 Dorothy Dr, Moore, OK 73170 |
| Enumerated | October 19, 2020 |
| Last updated | April 7, 2021 |
| Authorized official | Victoria Alvarado, Owner/Pta |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Sports Medicine | 2080S0010X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Physical Therapy Assistant | 225200000X | — |
| Massage Therapist | 225700000X | — |
| Clinic/Center, Physical Therapy primary | 261QP2000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.