| Mason Harrell, PT | |
|
1633 S Virginia Ave, Atoka, OK 74525-3901 | |
| (580) 364-7090 | |
| (844) 203-9997 |
| Full Name | Mason Harrell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1633 S Virginia Ave, Atoka, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790554996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6514 (Oklahoma) | Primary |
| Provider Name | 40:31 Physical Therapy And Fitness Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386017051 PECOS PAC ID: 5698072569 Enrollment ID: O20160322000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Harrell, PT 1633 S Virginia Ave, Atoka, OK 74525-3901 Ph: (580) 364-7090 | Mason Harrell, PT 1633 S Virginia Ave, Atoka, OK 74525-3901 Ph: (580) 364-7090 |
Corrie Lynn Brown, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1633 S Virginia Ave, Atoka, OK 74525 Phone: 580-364-7090 Fax: 844-203-9997 | |
Joseph Chapin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 S Forrest Hill Rd, Atoka, OK 74525 Phone: 580-239-2253 | |
Mrs. Kelly Ann Chapin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 Forrest Hill, Atoka, OK 74525 Phone: 580-239-2252 |