Provider Demographics
NPI:1245454032
Name:SCHUBERT, TERESA ANN (PT)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:BIRDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:231 34TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4843
Mailing Address - Country:US
Mailing Address - Phone:405-593-8353
Mailing Address - Fax:888-558-6690
Practice Address - Street 1:231 34TH AVE SW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4843
Practice Address - Country:US
Practice Address - Phone:405-593-8353
Practice Address - Fax:888-558-6690
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT1592225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist