Lisa Ann Estell, PTA
Individual provider Active NPI Physical Therapy Assistant · Tecumseh, OK
NPI 1336730209 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1336730209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1134 (OK)
- Practice address
- 503 N Broadway St
Tecumseh, OK 74873-2017 - Phone
- (405) 598-2899
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 1134 | OK | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Physical Therapy & Rehabilitation, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1134 | OK | Yes |
Addresses
Primary practice location
503 N Broadway St
Tecumseh, OK 74873-2017
Mailing address
PO Box 3675
Shawnee, OK 74802-3675
Phone (405) 214-0300
Other providers in Tecumseh, OK
- Gerardo Cervantes
- Timothy Ray Chandler
- Jarred James Coffman
- Country Road Operations LLC
- Tristan Dirksen
- First Med Urgent Care
- Emake M Fisher
- Kendra Fixico
- Cameron W Fletcher
- Haley N French
All providers in Tecumseh, 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 Feb 2, 2021. 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.