Provider Demographics
NPI:1861044521
Name:STEP BY STEP THERAPY INC
Entity Type:Organization
Organization Name:STEP BY STEP THERAPY INC
Other - Org Name:STEP BY STEP PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MISER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:918-533-1122
Mailing Address - Street 1:PO BOX 1138
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-1138
Mailing Address - Country:US
Mailing Address - Phone:918-553-1122
Mailing Address - Fax:833-840-6360
Practice Address - Street 1:11211 N GARNETT RD STE B
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4243
Practice Address - Country:US
Practice Address - Phone:918-553-1122
Practice Address - Fax:833-840-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty