Provider Demographics
NPI:1184001067
Name:PTMS 3.0,LLC
Entity Type:Organization
Organization Name:PTMS 3.0,LLC
Other - Org Name:PHYSICAL THERAPY CENTRAL OF YUKON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-809-8709
Mailing Address - Street 1:440 MERCHANT DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6470
Mailing Address - Country:US
Mailing Address - Phone:405-809-8709
Mailing Address - Fax:405-573-6768
Practice Address - Street 1:800 GARTH BROOKS BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-3806
Practice Address - Country:US
Practice Address - Phone:405-350-3336
Practice Address - Fax:405-350-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
395246Medicare PIN