| Orthopedic Spine & Sports Physical Therapy Pllc | |
|
1700 S Broadway St, Suite B, Moore, OK 73160-5300 | |
| (405) 735-8777 | |
| (405) 735-8778 |
| Full Name | Orthopedic Spine & Sports Physical Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1700 S Broadway St, Moore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316311293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4469 (Oklahoma) | Primary |
| Provider Name | Jeffrey Frazier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093003378 PECOS PAC ID: 5193996452 Enrollment ID: I20110916000081 |
| Provider Name | Colin Daniel Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740577188 PECOS PAC ID: 6608031430 Enrollment ID: I20120629000263 |
| Provider Name | Jonathan Chong-yuan Ong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356622914 PECOS PAC ID: 4082886437 Enrollment ID: I20150827002849 |
| Provider Name | John Adrian Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427413368 PECOS PAC ID: 9931407897 Enrollment ID: I20160411001374 |
| Provider Name | Andrew Dieckmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821573478 PECOS PAC ID: 8729455332 Enrollment ID: I20221110000360 |
| Provider Name | Skyler Mills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477243855 PECOS PAC ID: 4880037159 Enrollment ID: I20240205000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic Spine & Sports Physical Therapy Pllc 1700 S Broadway St, Suite B, Moore, OK 73160-5300 Ph: (405) 735-8777 | Orthopedic Spine & Sports Physical Therapy Pllc 1700 S Broadway St, Suite B, Moore, OK 73160-5300 Ph: (405) 735-8777 |
John Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-912-3055 Fax: 405-912-3059 | |
The Training Room Of Norman Physical Therapist Medicare: Medicare Enrolled Practice Location: 1025 Sw 4th St Ste 104, Moore, OK 73160 Phone: 405-676-5458 Fax: 405-676-8397 | |
Jeffrey Frazier, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 S Broadway St, Ste B, Moore, OK 73160 Phone: 405-735-8777 Fax: 405-735-8778 | |
Miss Tram Bich Cao, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Riverwalk Dr, Moore, OK 73160 Phone: 405-793-7885 | |
Natalie Delana Wansick, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9201 S I 35 Service Rd, Moore, OK 73160 Phone: 405-601-4303 | |
Mylee Nguyen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Riverwalk Dr, Moore, OK 73160 Phone: 405-793-7885 Fax: 405-793-7893 | |
Anna Tooman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-912-3055 |