MEDICARE: MR. JAMES STEPHEN NAGY 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	TA545	OK

General Provider Information

NPI Number	:	1699329961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES STEPHEN NAGY PTA

Provider Business Mailing Address
First Line	:	9706 S 228TH EAST AVE
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-6845
Country	:	US
Telephone Number	:
Fax Number	:

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	:	918-294-4000
Fax Number	:

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

Provider Enumeration Date	:	07/25/2019
Last Update Date	:	07/25/2019

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