Mr Ian David Blake, PT | |
6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | |
(918) 494-3000 | |
(918) 494-0003 |
Full Name | Mr Ian David Blake |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 6767 S Yale Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124094479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT3742 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tulsa Pt Consultants, Llc | 9638211691 | 4 |
Provider Name | Tulsa Pt Consultants, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689901852 PECOS PAC ID: 9638211691 Enrollment ID: O20100128000892 |
Mailing Address | Practice Location Address |
---|---|
Mr Ian David Blake, PT 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 Ph: (918) 494-3000 | Mr Ian David Blake, PT 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 Ph: (918) 494-3000 |
Pamela Thacker Kantner, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1471 Fax: 918-494-1494 | |
Mrs. Karen Rae Smith, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8222 S Yale Ave, Tulsa, OK 74137 Phone: 918-493-1200 Fax: 918-752-5343 | |
Laynie Wyrick, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4008 S Yale Ave, Tulsa, OK 74135 Phone: 918-622-4278 | |
Genie Alice Strakal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9175 S Yale Ave, Suite 120, Tulsa, OK 74137 Phone: 918-488-9991 Fax: 918-488-9989 | |
Pamela Guenther, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7112 S Mingo, Suite 108, Tulsa, OK 74133 Phone: 918-250-7093 Fax: 918-250-9976 | |
Driz Rehab Group, Professional Ltd. Co. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7135 S Braden Ave, Tulsa, OK 74136 Phone: 918-384-0088 Fax: 918-384-0044 | |
Johnathan William Barber, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7401 Riverside Pkwy Unit 219, Tulsa, OK 74136 Phone: 918-216-9303 |