Provider Demographics
NPI:1629283288
Name:US PT THERAPY SERVICES INC
Entity Type:Organization
Organization Name:US PT THERAPY SERVICES INC
Other - Org Name:TULSA HAND THERAPY SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, AUTHOIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:8421 E 61ST ST
Mailing Address - Street 2:SUITE P
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1924
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8421 E 61ST ST
Practice Address - Street 2:SUITE P
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1924
Practice Address - Country:US
Practice Address - Phone:918-459-9305
Practice Address - Fax:918-250-6032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4621230023Medicare NSC