Healthcare Provider Details

I. General information

NPI: 1720937006
Provider Name (Legal Business Name): SILVERSTONE THERAPEUTIC INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 ROPER RD
SPERRY OK
74073
US

IV. Provider business mailing address

5811 ROPER RD
SPERRY OK
74073
US

V. Phone/Fax

Practice location:
  • Phone: 918-954-1083
  • Fax: 918-999-9082
Mailing address:
  • Phone: 918-954-1083
  • Fax: 918-999-9082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TYLER WOODS
Title or Position: OWNER
Credential: NP
Phone: 918-954-1083