Jennifer D Sweatt, PTA

Individual provider Active NPI Physical Therapy Assistant · Mannford, OK

NPI 1013500701 · NPPES record last updated Feb 15, 2021

Key facts

NPI
1013500701
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
3075 (OK)
Practice address
112 Evans Ave
Mannford, OK 74044
Phone
(918) 865-7020
Fax
(918) 865-7039
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3075OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Results Therapy Services LLC Current
since Feb 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3075 OK Yes

Addresses

Primary practice location

112 Evans Ave
Mannford, OK 74044

Mailing address

PO Box 361
Mannford, OK 74044-0361
Phone (918) 865-7020

Other identifiers

IdentifierTypeStateIssuer
3075OtherOKOKLAHOLMA MEDICAL BOARD PTA LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address resultspt@cimtel.net Direct

Other providers in Mannford, OK

All providers in Mannford, OK · Physical Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.