Jennifer Grace Crawley

Individual provider Active NPI Physical Therapist · Wagoner, OK

NPI 1134044951 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1134044951
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
7138 (OK)
Practice address
817 W Cherokee St
Wagoner, OK 74467-4616
Phone
(918) 485-3100
Fax
(918) 485-3126
NPI assigned
Aug 11, 2026
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7138 OK Yes

Addresses

Primary practice location

817 W Cherokee St
Wagoner, OK 74467-4616

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039

Other providers in Wagoner, OK

All providers in Wagoner, OK · Physical Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.