NPI 1821145368 · live from the CMS NPI Registry
Mark A Anderson, PT, PhD, ATC
Physical Therapist in Oklahoma City, OK. National Provider Identifier 1821145368, active.
NPI record
| NPI | 1821145368 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1600 N Phillips Ave, Oklahoma City, OK 73104 |
| Practice phone | 405-271-2131 |
| Mailing address | 801 Ne 13th St, Room 239, Oklahoma City, OK 73104 |
| Enumerated | January 5, 2007 |
| Last updated | July 10, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | OK940 (OK) |
| Physical Therapist, Sports | 2251S0007X | 190 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.