| Kristin Wahpepah, | |
|
1921 Stonecipher Blvd, Ada, OK 74820-3270 | |
| (580) 421-4570 | |
| (580) 421-6283 |
| Full Name | Kristin Wahpepah |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447683701 | NPI | - | NPPES |
| 4676 | Other | OK | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4676 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Absentee Shawnee Tribal Health Authority, Inc | 5799171088 | 72 |
| Provider Name | Absentee Shawnee Tribe Of Oklahoma |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942253521 PECOS PAC ID: 9335053479 Enrollment ID: O20031113000654 |
| Provider Name | Li-si-wi-nwi Health, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124152962 PECOS PAC ID: 4183895519 Enrollment ID: O20130227000474 |
| Provider Name | Absentee Shawnee Tribal Health Authority, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Wahpepah, 2029 S Gordon Cooper Dr, Shawnee, OK 74801-9005 Ph: (405) 878-5850 | Kristin Wahpepah, 1921 Stonecipher Blvd, Ada, OK 74820-3270 Ph: (580) 421-4570 |
Daniel J Allman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 | |
Mr. Timothy Ryan Brown, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-310-5687 Fax: 580-421-6283 | |
Lindsy Wells, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 | |
Craig Stewart, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 | |
Adam Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Seabrook Rd, Ada, OK 74820 Phone: 580-310-6635 | |
Logan Gentry, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2020 Arlington St Ste 3, Ada, OK 74820 Phone: 580-332-5124 | |
Clayton Lent, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Seabrook Rd, Ada, OK 74820 Phone: 580-310-6635 |