Lauryn Ashleigh Becerra, PTA

Individual provider Active NPI Physical Therapy Assistant · Mustang, OK

NPI 1043949753 · NPPES record last updated Jul 26, 2022

Key facts

NPI
1043949753
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
3537 (OK)
Practice address
433 E State Highway 152
Mustang, OK 73064-4519
Phone
(405) 353-2159
NPI assigned
Jun 8, 2022
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
3537OKMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PTMS 3.0, LLC Past
since Jun 12, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3537 OK Yes

Addresses

Primary practice location

433 E State Highway 152
Mustang, OK 73064-4519

Mailing address

440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713

Other providers in Mustang, OK

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

Sources for this page

Verify at the official NPI Registry.