Provider Demographics
NPI:1578986972
Name:CONSANO NEWCASTLE LLC
Entity Type:Organization
Organization Name:CONSANO NEWCASTLE LLC
Other - Org Name:CONSANO HEALTHCARE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-253-1347
Mailing Address - Street 1:PO BOX 248820
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73124-8820
Mailing Address - Country:US
Mailing Address - Phone:405-419-8444
Mailing Address - Fax:405-419-7797
Practice Address - Street 1:300 NW 32ND ST
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-6300
Practice Address - Country:US
Practice Address - Phone:405-253-1347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty