Provider Demographics
NPI:1891398939
Name:HOME PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:HOME PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPPELLE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-933-1548
Mailing Address - Street 1:23008 COUNTY ROAD 1376
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-2065
Mailing Address - Country:US
Mailing Address - Phone:405-515-9263
Mailing Address - Fax:405-515-9019
Practice Address - Street 1:115 N 1ST ST STE 2
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-2115
Practice Address - Country:US
Practice Address - Phone:405-515-9263
Practice Address - Fax:405-515-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty