Provider Demographics
NPI:1376109140
Name:CAPSEY, CHRISTOPHER DON (DPT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DON
Last Name:CAPSEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 S 101ST EAST AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5799
Mailing Address - Country:US
Mailing Address - Phone:918-294-4060
Mailing Address - Fax:918-294-4067
Practice Address - Street 1:9001 S 101ST EAST AVE STE 170
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5799
Practice Address - Country:US
Practice Address - Phone:918-294-4060
Practice Address - Fax:918-294-4067
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200842520AMedicaid