Healthcare Provider Details

I. General information

NPI: 1043673718
Provider Name (Legal Business Name): PTMS 3.0, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 SE 74TH STREET, SUITE 500
OKLAHOMA CITY OK
73135-1088
US

IV. Provider business mailing address

440 MERCHANT DR
NORMAN OK
73069-6470
US

V. Phone/Fax

Practice location:
  • Phone: 405-610-6320
  • Fax: 405-610-6325
Mailing address:
  • Phone: 405-809-8710
  • Fax: 405-573-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRIDGIT FINLEY
Title or Position: CEO
Credential:
Phone: 405-809-8710