MEDICARE: PTMS 3.0, LLC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1356459572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PTMS 3.0, LLC

Provider Business Mailing Address
First Line	:	3699 NW 32ND ST
Second Line	:
City	:	NEWCASTLE
State	:	OK
Zip	:	73065-6559
Country	:	US
Telephone Number	:	405-387-5520
Fax Number	:	405-387-5404

Provider Business Practice Location Address
First Line	:	3699 NW 32ND ST
Second Line	:
City	:	NEWCASTLE
State	:	OK
Zip	:	73065-6559
Country	:	US
Telephone Number	:	405-387-5520
Fax Number	:	405-387-5404

Authorized Official
Title or Position	:	MANAGER
Name	:	BRIDGIT A FINLEY
Credential	:
Telephone Number	:	405-809-8709

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	02/25/2015

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