Healthcare Provider Details

I. General information

NPI: 1346110038
Provider Name (Legal Business Name): BUBBLETREES PEDIATRIC PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 W UNIVERSITY AVE
STILLWATER OK
74074-2940
US

IV. Provider business mailing address

1615 W UNIVERSITY AVE
STILLWATER OK
74074-2940
US

V. Phone/Fax

Practice location:
  • Phone: 405-762-1639
  • Fax: 888-649-7014
Mailing address:
  • Phone: 405-762-1639
  • Fax: 888-649-7014

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: KARI L FIELDS
Title or Position: OWNER
Credential: PT
Phone: 405-762-1639