Healthcare Provider Details

I. General information

NPI: 1801434493
Provider Name (Legal Business Name): ALEXIS BARNES DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS MCKINNON DPT

II. Dates (important events)

Enumeration Date: 12/15/2019
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 E HIGHWAY 37
TUTTLE OK
73089
US

IV. Provider business mailing address

9927 GEORGIA AVE
OKLAHOMA CITY OK
73120-4055
US

V. Phone/Fax

Practice location:
  • Phone: 405-463-4634
  • Fax:
Mailing address:
  • Phone: 918-214-3985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1318326
License Number StateOK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: