Provider Demographics
NPI:1750671079
Name:PTMS 3.0, LLC
Entity Type:Organization
Organization Name:PTMS 3.0, LLC
Other - Org Name:PHYSICAL THERAPY CENTRAL OF DAVIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-809-8709
Mailing Address - Street 1:201 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:OK
Mailing Address - Zip Code:73030-1749
Mailing Address - Country:US
Mailing Address - Phone:580-369-3900
Mailing Address - Fax:580-369-3901
Practice Address - Street 1:201 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:OK
Practice Address - Zip Code:73030-1749
Practice Address - Country:US
Practice Address - Phone:580-369-3900
Practice Address - Fax:580-369-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty