MEDICARE: FORT TOWSON PUBLIC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist
3	225200000X	Physical Therapy Assistant
4	225X00000X	Occupational Therapist
5	235Z00000X	Speech-Language Pathologist
6	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1407071855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT TOWSON PUBLIC

Provider Business Mailing Address
First Line	:	PO BOX 39
Second Line	:
City	:	FORT TOWSON
State	:	OK
Zip	:	74735-0039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 NW 3RD
Second Line	:
City	:	FORT TOWSON
State	:	OK
Zip	:	74735
Country	:	US
Telephone Number	:	580-873-2712
Fax Number	:

Authorized Official
Title or Position	:	SBSW
Name	:	STEVE RYMEL
Credential	:
Telephone Number	:	580-873-2712

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	09/11/2025

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Directions to “FORT TOWSON PUBLIC ” Practice Location

Language	Start Address	Practice Location

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