Provider Demographics
NPI:1255034476
Name:ADAPTABLE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:ADAPTABLE PHYSICAL THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CERT- MMOA
Authorized Official - Phone:918-791-8789
Mailing Address - Street 1:21 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-7034
Mailing Address - Country:US
Mailing Address - Phone:918-791-8789
Mailing Address - Fax:877-912-0432
Practice Address - Street 1:21 E 3RD ST
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-7034
Practice Address - Country:US
Practice Address - Phone:918-791-8789
Practice Address - Fax:877-912-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty