MEDICARE: ORTHOPEDIC THERAPY SERVICES, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1679853055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	7000 BROADWAY EXT
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9006
Country	:	US
Telephone Number	:	405-684-0729
Fax Number	:	866-200-8489

Provider Business Practice Location Address
First Line	:	7000 BROADWAY EXT
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9006
Country	:	US
Telephone Number	:	405-684-0729
Fax Number	:	866-200-8489

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL DICKMAN
Credential	:
Telephone Number	:	405-684-0729

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	03/16/2026

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