Eagles Nest Pediatric Therapy is a
Clinic/center - Multi-specialty based in Jones, Oklahoma. Eagles Nest Pediatric Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
14700 Sharon Springs Dr, Jones, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(405) 623-9178.
NPI number for Eagles Nest Pediatric Therapy is 1073257093 and their current mailing address is 14700 Sharon Springs Dr, Jones, Oklahoma. Eagles Nest Pediatric Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073257093.
Healthcare Provider's Profile
| Full Name | Eagles Nest Pediatric Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 14700 Sharon Springs Dr, Jones, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073257093
- Provider Enumeration Date: 04/26/2022
- Last Update Date: 07/08/2022
Medical Identifiers
Medical identifiers for Eagles Nest Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073257093 | NPI | - | NPPES |
| 1538279229 | Other | OK | INDIVIDUAL NPI |
| 1593 | Other | OK | OKLAHOMA MEDICAL LICENSURE BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eagles Nest Pediatric Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eagles Nest Pediatric Therapy
14700 Sharon Springs Dr,
Jones, OK 73049-8700
Ph: (405) 623-9178 | Eagles Nest Pediatric Therapy
14700 Sharon Springs Dr,
Jones, OK 73049-8700
Ph: (405) 623-9178 |
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