Wendy Sheree Alexander, P. T.
Individual provider Active NPI Physical Therapist · Broken Arrow, OK
NPI 1013116151 · NPPES record last updated May 23, 2013
Key facts
- NPI
- 1013116151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 2990 (OK)
- Practice address
- 4300 W Houston St
Broken Arrow, OK 74012-4519 - Phone
- (918) 249-9649
- Fax
- (918) 249-9649
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2990 | OK | MD | Professional Counselor |
| PT 2990 | OK | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 2990 | OK | Yes |
Addresses
Primary practice location
4300 W Houston St
Broken Arrow, OK 74012-4519
Mailing address
4300 W Houston St
Broken Arrow, OK 74012-4519
Phone (918) 249-9649
Other providers in Broken Arrow, OK
- Barbara Albertson
- Leslie Alexander
- Patricia Anne Alexander
- Rachel Nicole Alexander
- Takira Raynola Alexander
- Jad Alkhatib
- Abigail Keira Allan
- Allcare Medical Equipment and Supplies, Inc.
- Bridget B Allen
- Bryttne Allen
All providers in Broken Arrow, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.