Healthcare Provider Details

I. General information

NPI: 1366388035
Provider Name (Legal Business Name): MACEY NICOLE MCFARLANE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14401 REMINGTON WAY
OKLAHOMA CITY OK
73134-1800
US

IV. Provider business mailing address

14401 REMINGTON WAY
OKLAHOMA CITY OK
73134-1800
US

V. Phone/Fax

Practice location:
  • Phone: 405-551-1468
  • Fax:
Mailing address:
  • Phone: 405-551-1468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: