Provider Demographics
NPI:1295134690
Name:PTMS 3.0,, LLC
Entity type:Organization
Organization Name:PTMS 3.0,, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGIT
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-809-8710
Mailing Address - Street 1:620 S SANTE FE AVE
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2476
Mailing Address - Country:US
Mailing Address - Phone:405-809-8655
Mailing Address - Fax:405-759-3639
Practice Address - Street 1:620 S SANTE FE AVE
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2476
Practice Address - Country:US
Practice Address - Phone:405-809-8655
Practice Address - Fax:405-759-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty