Healthcare Provider Details

I. General information

NPI: 1710437306
Provider Name (Legal Business Name): REDBUD PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4008 S YALE AVE
TULSA OK
74135-6017
US

IV. Provider business mailing address

4008 S YALE AVE
TULSA OK
74135-6017
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-4278
  • Fax:
Mailing address:
  • Phone: 918-622-4126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIDGIT ANN FINLEY
Title or Position: CEO
Credential: PPT
Phone: 405-809-8715