Haley Patz Nida, PT, DPT
Individual provider Active NPI Physical Therapist · Alva, OK
NPI 1396396131 · NPPES record last updated Sep 30, 2019
Key facts
- NPI
- 1396396131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4878 (OK)
- Practice address
- 520 Flynn St
Alva, OK 73717-2240 - Phone
- (580) 327-3331
- Fax
- (580) 327-3314
- NPI assigned
- Sep 23, 2019
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4878 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance Center 3 PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
520 Flynn St
Alva, OK 73717
Phone (580) 327-3331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4878 | OK | Yes |
Addresses
Primary practice location
520 Flynn St
Alva, OK 73717-2240
Mailing address
112 Barnes Ave
Alva, OK 73717-2344
Phone (580) 430-8022
Other practice location 1
112 Barnes Ave
Alva, OK 73717-2344
Phone (580) 430-8022
Other providers in Alva, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2019. 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.