Quincy Anderson
Individual provider Active NPI Physical Therapist · Midwest City, OK
NPI 1184054355 · NPPES record last updated Nov 25, 2013
Key facts
- NPI
- 1184054355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4498 (OK)
- Practice address
- 6904 E Reno Ave
Midwest City, OK 73110-2152 - Phone
- (405) 737-5555
- NPI assigned
- Nov 25, 2013
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4498 | OK | Yes |
Addresses
Primary practice location
6904 E Reno Ave
Midwest City, OK 73110-2152
Mailing address
6904 E Reno Ave
Midwest City, OK 73110-2152
Phone (405) 737-5555
Other providers in Midwest City, OK
- Bethany Jo Anderson
- Daniel Anderson
- Joel W Anderson III
- Kimberly Michelle Anderson
- Michael Terry Anderson
- Anesthesia Specialists of Oklahoma, LLC
- Jaylin Anglin
- Anmxv LLC
- Michael Annancy
- Another Chance Counseling Agency, Inc
All providers in Midwest City, 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 Nov 25, 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.