| Lacey R Fairbrother, PT, DPT | |
|
14890 Se 29th St, Choctaw, OK 73020-3515 | |
| (405) 390-1731 | |
| (405) 390-1981 |
| Full Name | Lacey R Fairbrother |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 14890 Se 29th St, Choctaw, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538442769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4499 (Oklahoma) | Primary |
| Provider Name | Action Physical Therapy & Rehabilitation, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902103112 PECOS PAC ID: 6002085115 Enrollment ID: O20110805000783 |
| Provider Name | Empowerme Rehabilitation Oklahoma Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023514247 PECOS PAC ID: 5496088296 Enrollment ID: O20190611000701 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366024077 PECOS PAC ID: 9830504836 Enrollment ID: O20210723000217 |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20220316003314 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871249631 PECOS PAC ID: 4789602681 Enrollment ID: O20220414001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey R Fairbrother, PT, DPT 14890 Se 29th St, Choctaw, OK 73020-3515 Ph: (405) 390-1731 | Lacey R Fairbrother, PT, DPT 14890 Se 29th St, Choctaw, OK 73020-3515 Ph: (405) 390-1731 |
Cathy Lynan Trout, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 818 Silver Tree Dr, Choctaw, OK 73020 Phone: 907-355-0602 | |
Jeffrey Michael Hogan, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14890 Se 29th St, Choctaw, OK 73020 Phone: 405-390-1731 Fax: 405-390-1981 | |
Home Therapy Services Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12109 Se 29th St, Choctaw, OK 73020 Phone: 405-990-1025 Fax: 405-455-3717 | |
Kelly Wallace, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 13390 Ne 23rd St, Choctaw, OK 73020 Phone: 405-769-5555 Fax: 405-769-5558 | |
Choctaw-nicoma Park Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12880 Ne 10th St, Choctaw, OK 73020 Phone: 405-769-8389 Fax: 405-769-9821 | |
Oklahoma Physical Therapy Choctaw Physical Therapist Medicare: Medicare Enrolled Practice Location: 1960 Harper St, Suite B, Choctaw, OK 73020 Phone: 405-281-5785 Fax: 405-281-5786 | |
Physical Therapy Central Of Choctaw Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14890 Se 29th St, Choctaw, OK 73020 Phone: 405-390-1731 Fax: 405-390-1981 |