| Shane Foster, DPT | |
|
4636 S Harvard Ave Ste 104, Tulsa, OK 74135-2908 | |
| (918) 742-4005 | |
| Not Available |
| Full Name | Shane Foster |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4636 S Harvard Ave Ste 104, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528708344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4528 (Oklahoma) | Primary |
| Provider Name | Revelation Medical of Tulsa LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366194110 PECOS PAC ID: 5294122933 Enrollment ID: O20220427000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Foster, DPT 4636 S Harvard Ave Ste 104, Tulsa, OK 74135-2908 Ph: (918) 742-4005 | Shane Foster, DPT 4636 S Harvard Ave Ste 104, Tulsa, OK 74135-2908 Ph: (918) 742-4005 |
Pamela Thacker Kantner, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1471 Fax: 918-494-1494 |
Mrs. Karen Rae Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8222 S Yale Ave, Tulsa, OK 74137 Phone: 918-493-1200 Fax: 918-752-5343 |
Garrett Lee Field, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3345 S Harvard Ave Ste 101301, Tulsa, OK 74135 Phone: 918-574-2575 |
Mrs. Cheri Lynn Robbins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 S Granite Ave, Tulsa, OK 74136 Phone: 918-215-4806 |
Genie Alice Strakal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9175 S Yale Ave, Suite 120, Tulsa, OK 74137 Phone: 918-488-9991 Fax: 918-488-9989 |
Pamela Guenther, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7112 S Mingo, Suite 108, Tulsa, OK 74133 Phone: 918-250-7093 Fax: 918-250-9976 |
Driz Rehab Group, Professional Ltd. Co. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7135 S Braden Ave, Tulsa, OK 74136 Phone: 918-384-0088 Fax: 918-384-0044 |