| Robert Todd Petty, PT | |
|
5110 S Yale Ave, Ste 304, Tulsa, OK 74135-7401 | |
| (918) 398-7400 | |
| (918) 398-7440 |
| Full Name | Robert Todd Petty |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5110 S Yale Ave, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154383115 | NPI | - | NPPES |
| 100658250B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1699 (Oklahoma) | Primary |
| Provider Name | Excel Therapy Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033277413 PECOS PAC ID: 1759294689 Enrollment ID: O20031107000094 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205162716 PECOS PAC ID: 9537076401 Enrollment ID: O20110106000736 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Todd Petty, PT 2234 W Houston St Ste B, Broken Arrow, OK 74012-3519 Ph: (918) 259-1888 | Robert Todd Petty, PT 5110 S Yale Ave, Ste 304, Tulsa, OK 74135-7401 Ph: (918) 398-7400 |
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 |