| 40:31 Physical Therapy And Fitness, Pllc | |
|
1633 S Virginia Ave, Atoka, OK 74525-3901 | |
| (580) 364-7090 | |
| (844) 203-9997 |
| Full Name | 40:31 Physical Therapy And Fitness, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1633 S Virginia Ave, Atoka, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386017051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Corrie L Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710116678 PECOS PAC ID: 7517003718 Enrollment ID: I20140707001539 |
| Provider Name | Mason D Harrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790554996 PECOS PAC ID: 7719320258 Enrollment ID: I20240212002211 |
| Mailing Address | Practice Location Address |
|---|---|
| 40:31 Physical Therapy And Fitness, Pllc 1633 S Virginia Ave, Atoka, OK 74525-3901 Ph: (580) 364-7090 | 40:31 Physical Therapy And Fitness, Pllc 1633 S Virginia Ave, Atoka, OK 74525-3901 Ph: (580) 364-7090 |
Corrie Lynn Brown, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1633 S Virginia Ave, Atoka, OK 74525 Phone: 580-364-7090 Fax: 844-203-9997 | |
Joseph Chapin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 S Forrest Hill Rd, Atoka, OK 74525 Phone: 580-239-2253 | |
Mason Harrell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1633 S Virginia Ave, Atoka, OK 74525 Phone: 580-364-7090 Fax: 844-203-9997 | |
Mrs. Kelly Ann Chapin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 Forrest Hill, Atoka, OK 74525 Phone: 580-239-2252 |