Provider Demographics
NPI:1114264520
Name:THERAPY SPECIALISTS OF OK LLC
Entity Type:Organization
Organization Name:THERAPY SPECIALISTS OF OK LLC
Other - Org Name:THERAPY SPECIALISTS OF OKLAHOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STREICH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-286-6080
Mailing Address - Street 1:13801 N BRYANT AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6440
Mailing Address - Country:US
Mailing Address - Phone:405-286-6080
Mailing Address - Fax:866-594-7004
Practice Address - Street 1:13801 N BRYANT AVE
Practice Address - Street 2:STE 400
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6440
Practice Address - Country:US
Practice Address - Phone:405-286-6080
Practice Address - Fax:866-594-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy