Provider Demographics
NPI:1003939497
Name:HOWARD, SCOTT K (PT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:K
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 N BROADWAY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-6039
Mailing Address - Country:US
Mailing Address - Phone:405-609-3670
Mailing Address - Fax:405-605-8638
Practice Address - Street 1:4901 N KICKAPOO AVE STE 1556
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1308
Practice Address - Country:US
Practice Address - Phone:405-214-9808
Practice Address - Fax:405-214-9389
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100834120AMedicaid