Ann Elizabeth Angiel, RPT

Individual provider Active NPI Physical Therapist · Lawton, OK

NPI 1467725952 · NPPES record last updated Feb 15, 2012

Key facts

NPI
1467725952
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT1935 (OK)
Practice address
4121 W Gore Blvd
Lawton, OK 73505-6336
Phone
(580) 353-8900
NPI assigned
Feb 15, 2012
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
PT1935OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gore Therapy Center, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1935 OK Yes

Addresses

Primary practice location

4121 W Gore Blvd
Lawton, OK 73505-6336

Mailing address

4121 W Gore Blvd
Lawton, OK 73505-6336
Phone (580) 353-8900

Other providers in Lawton, OK

All providers in Lawton, OK · Physical Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.