| Limitless Physical Therapy Llc | |
|
1207 S Lee St Fort Gibson OK 74434-8757 | |
| (918) 207-7298 | |
| Not Available |
| Full Name | Limitless Physical Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1207 S Lee St, Fort Gibson, Oklahoma |
| Authorized Official Name and Position | Kaitlin Lubbers (OWNER) |
| Authorized Official Contact | 9182077298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limitless Physical Therapy Llc 23052 Highway 82 Park Hill OK 74451-4154 Ph: (918) 207-7298 | Limitless Physical Therapy Llc 1207 S Lee St Fort Gibson OK 74434-8757 Ph: (918) 207-7298 |
| NPI Number | 1316695919 |
|---|---|
| Provider Enumeration Date | 03/13/2022 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 3476940172 |
|---|---|
| Medicare Enrollment ID | O20220907000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316695919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kaitlin B Lubbers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073138111 PECOS PAC ID: 2860870086 Enrollment ID: I20220609001384 |
Northeastern Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Lone Oak Cir, Fort Gibson, OK 74434 Phone: 918-478-2101 Fax: 918-478-6008 |