NPI Code Details Logo

NPI 1003819715

NPI 1003819715 : THERAPY IN MOTION PC : NORMAN, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003819715
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THERAPY IN MOTION PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/27/2005
-----------------------------------------------------
    Last Update Date     |    08/26/2014
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2475 BOARDWALK 
-----------------------------------------------------
    City                 |    NORMAN
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73069-6332
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-447-1991
-----------------------------------------------------
    Fax                  |    405-447-1198
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2475 BOARDWALK ST 
-----------------------------------------------------
    City                 |    NORMAN
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73069-6332
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-447-1991
-----------------------------------------------------
    Fax                  |    405-447-1198
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OFFICE MANAGER
-----------------------------------------------------
    Name                 |     ROBIN  ANNESLEY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    405-447-1991
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.