Ana Kassandra Alvarez, PTA
Individual provider Active NPI Physical Therapy Assistant · Owasso, OK
NPI 1760128391 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1760128391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3105 (OK)
- Practice address
- 9032 N 175TH East Ave
Owasso, OK 74055-5615 - Phone
- (918) 224-6012
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 3105 | OK | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3105 | OK | Yes |
Addresses
Primary practice location
9032 N 175TH East Ave
Owasso, OK 74055-5615
Mailing address
9032 N 175TH East Ave
Owasso, OK 74055-5615
Other providers in Owasso, OK
- Eric Alexander
- All I Can Be, LLC
- Abigail Allen
- Andrea Allen
- Ryan Elizabeth Allen
- Chelsea Alvarez
- Melissa J Alwert
- Amy Polge
- Bradley James Anderson
- Stephanie Lee Anderson
All providers in Owasso, 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 May 6, 2022. 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.