Provider Demographics
NPI:1568649028
Name:UNITY THERAPY SERVICES
Entity Type:Organization
Organization Name:UNITY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-402-1000
Mailing Address - Street 1:1108 W GRANGER ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-0731
Mailing Address - Country:US
Mailing Address - Phone:918-402-1000
Mailing Address - Fax:
Practice Address - Street 1:1108 W GRANGER ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-0731
Practice Address - Country:US
Practice Address - Phone:918-402-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT2334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty