Provider Demographics
NPI:1023801446
Name:NIXON, BRANDON (PT, DPT)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:NIXON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10106 S SHERIDAN RD STE C
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6776
Mailing Address - Country:US
Mailing Address - Phone:918-995-2500
Mailing Address - Fax:918-995-2501
Practice Address - Street 1:10106 S SHERIDAN RD STE C
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6776
Practice Address - Country:US
Practice Address - Phone:918-995-2500
Practice Address - Fax:918-995-2501
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist