Healthcare Provider Details

I. General information

NPI: 1245454032
Provider Name (Legal Business Name): TERESA ANN SCHUBERT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA ANN BIRDWELL PT

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 34TH AVE SW
NORMAN OK
73072-4843
US

IV. Provider business mailing address

231 34TH AVE SW
NORMAN OK
73072-4843
US

V. Phone/Fax

Practice location:
  • Phone: 405-593-8353
  • Fax: 888-558-6690
Mailing address:
  • Phone: 405-593-8353
  • Fax: 888-558-6690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1592
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: