Provider Demographics
NPI:1245431667
Name:PHYSICAL THERAPY SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLURE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:580-351-9956
Mailing Address - Street 1:910 SW 38TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7013
Mailing Address - Country:US
Mailing Address - Phone:580-351-9956
Mailing Address - Fax:580-351-9395
Practice Address - Street 1:910 SW 38TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-7013
Practice Address - Country:US
Practice Address - Phone:580-351-9956
Practice Address - Fax:580-351-9395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2557225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1306804570OtherIND NPI NUMBER
OKQ49177Medicare UPIN