Provider Demographics
NPI:1689672727
Name:CARUSO, ROBERT G (PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:CARUSO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:825 N BROADWAY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-6039
Mailing Address - Country:US
Mailing Address - Phone:405-609-3697
Mailing Address - Fax:405-605-8638
Practice Address - Street 1:2236 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6462
Practice Address - Country:US
Practice Address - Phone:405-321-5969
Practice Address - Fax:405-321-5967
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2008-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OKAT1722251S0007X
OKPT20902251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports