MEDICARE: JOY VAREE FERREIRA DPT

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	225100000X	Physical Therapist	4448	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710274584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY VAREE FERREIRA DPT

Provider Business Mailing Address
First Line	:	700 NW 7TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1212
Country	:	US
Telephone Number	:	405-609-3658
Fax Number	:	800-506-3795

Provider Business Practice Location Address
First Line	:	7005 SE 15TH ST
Second Line	:	SUITE 200
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-5100
Country	:	US
Telephone Number	:	405-610-2488
Fax Number	:	405-610-2484

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

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	06/24/2019

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