Provider Demographics
NPI:1750319414
Name:P T S HEALTHCARE
Entity Type:Organization
Organization Name:P T S HEALTHCARE
Other - Org Name:THERASOLUTIONS, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-842-0430
Mailing Address - Street 1:5900 MOSTELLER DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4600
Mailing Address - Country:US
Mailing Address - Phone:405-842-0430
Mailing Address - Fax:405-810-8775
Practice Address - Street 1:5900 MOSTELLER DR
Practice Address - Street 2:SUITE 150
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4600
Practice Address - Country:US
Practice Address - Phone:405-842-0430
Practice Address - Fax:405-810-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200093090 AMedicaid
OK200093090 AMedicaid