Healthcare Provider Details

I. General information

NPI: 1932039419
Provider Name (Legal Business Name): ALEX GRIFFITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4331 ADAMS RD STE 111
NORMAN OK
73069-1007
US

IV. Provider business mailing address

4331 ADAMS RD STE 111
NORMAN OK
73069-1007
US

V. Phone/Fax

Practice location:
  • Phone: 405-438-0090
  • Fax: 405-493-0717
Mailing address:
  • Phone: 405-438-0090
  • Fax: 405-493-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberCF882
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: