MEDICARE: MR. CHRISTOPHER DON CAPSEY DPT

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	5641	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376109140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER DON CAPSEY DPT

Provider Business Mailing Address
First Line	:	9001 S 101ST EAST AVE STE 170
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5799
Country	:	US
Telephone Number	:	918-294-4060
Fax Number	:	918-294-4067

Provider Business Practice Location Address
First Line	:	9001 S 101ST EAST AVE STE 170
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5799
Country	:	US
Telephone Number	:	918-294-4060
Fax Number	:	918-294-4067

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

Provider Enumeration Date	:	05/16/2019
Last Update Date	:	08/14/2024

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