Brandy Dawn Ames, DPT
Individual provider Active NPI Physical Therapist · Altus, OK
NPI 1619248010 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1619248010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4525 (OK)
- Practice address
- 301 E Broadway St
Altus, OK 73521-5507 - Phone
- (580) 477-3305
- Fax
- (580) 477-2423
- NPI assigned
- Jan 18, 2012
- 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 |
|---|---|---|---|
| 4525 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valir Outpatient Clinics LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4525 | OK | Yes |
Addresses
Primary practice location
301 E Broadway St
Altus, OK 73521-5507
Mailing address
700 NW 7TH St
Suite 302
Oklahoma City, OK 73102-1212
Phone (405) 609-3675
Other names
- Brandy Dawn Griffin
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. 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.