Jade Bell
Individual provider Active NPI Physical Therapy Assistant · Yukon, OK
NPI 1013490689 · NPPES record last updated Sep 10, 2018
Key facts
- NPI
- 1013490689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2036 (OK)
- Practice address
- 1000 Desert Trail
Yukon, OK 73099 - Phone
- (580) 729-8848
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2036 | OK | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2036 | OK | Yes |
Addresses
Primary practice location
1000 Desert Trail
Yukon, OK 73099
Mailing address
1000 Desert TRL
Yukon, OK 73099-6803
Other providers in Yukon, OK
- Katrina Bates
- BDC Medical PLLC
- Kandace Beck
- Linda K Beeson
- Christina Mariyam Bejoy
- James Robert Bell
- Belinda Bennett
- Berg Dentistry
- Tamara Sue Berg
- Mariela Bernal Irizarry
All providers in Yukon, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2018. 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.