MEDICARE: NEXT STEP PT, LLC

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

General Provider Information

NPI Number	:	1790566198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT STEP PT, LLC

Provider Business Mailing Address
First Line	:	9901 CARA LN
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-3497
Country	:	US
Telephone Number	:	405-812-9148
Fax Number	:

Provider Business Practice Location Address
First Line	:	4440 NW EXPRESSWAY STE C
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1533
Country	:	US
Telephone Number	:	405-749-6281
Fax Number	:	405-936-6496

Authorized Official
Title or Position	:	DIRECT OF OPERATIONS
Name	:	DANA MANNING
Credential	:
Telephone Number	:	405-749-6281

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	10/11/2023

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Directions to “NEXT STEP PT, LLC ” Practice Location

Language	Start Address	Practice Location

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