MEDICARE: JONATHAN RADELL PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1528836228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN RADELL PTA

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	817-406-6179
Fax Number	:

Provider Business Practice Location Address
First Line	:	1124 S DOUGLAS BLVD
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-5236
Country	:	US
Telephone Number	:	405-582-2105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2023
Last Update Date	:	04/02/2024

Similar Medicare Providers

1306827373 — JOE BYNUM BOURLAND PA
Practice Location Address:

1140 S DOUGLAS BLVD
MIDWEST CITY, OK
73130-5236

Practice Phone: 405-733-8000
Practice Fax:

1093853731 — OLSEN ORTHOPEDICS, PLLC
Practice Location Address:

1140 S DOUGLAS BLVD
MIDWEST CITY, OK
73130-5236

Practice Phone: 405-733-8000
Practice Fax: 405-733-7820

1508482464 — SHAWN ALEXANDRIA HUFFORD HARRISON DPT
Practice Location Address:

1124 S DOUGLAS BLVD
MIDWEST CITY, OK
73130-5236

Practice Phone: 405-582-2105
Practice Fax: 405-582-2134

1144805565 — KRISTIE HODGES PTA
Practice Location Address:

1124 S DOUGLAS BLVD
MIDWEST CITY, OK
73130-5236

Practice Phone: 405-582-2105
Practice Fax:

1972179646 — TALOR STEWART PT, DPT
Practice Location Address:

1124 S DOUGLAS BLVD
MIDWEST CITY, OK
73130-5236

Practice Phone: 405-582-2105
Practice Fax:

1326770652 — FRANK STEVEN POLLACK IV PTA
Practice Location Address:

1124 S DOUGLAS BLVD
MIDWEST CITY, OK
73130-5236

Practice Phone: 405-582-2105
Practice Fax:

Directions to “ JONATHAN RADELL PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.