MEDICARE: MELISSA JAYNE DELGADO PERKINS PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	3912	OK

General Provider Information

NPI Number	:	1225924525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA JAYNE DELGADO PERKINS PTA

Provider Business Mailing Address
First Line	:	3113 KERRY LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 NW 39TH EXPY
Second Line	:
City	:	BETHANY
State	:	OK
Zip	:	73008-2868
Country	:	US
Telephone Number	:	405-981-4001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	07/17/2025

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