Staci Barton, PTA
Individual provider Active NPI Physical Therapy Assistant · Moore, OK
NPI 1801445366 · NPPES record last updated Sep 8, 2019
Key facts
- NPI
- 1801445366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2702 (OK)
- Practice address
- 400 N Eastern Ave
Moore, OK 73160-5833 - Phone
- (405) 601-4303
- NPI assigned
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|
| 2702 | OK | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Pediatric Therapy | Past | Accepting new patients | |
| Rehabsource, LLC | Past |
Accepting new patients | |
| Rehabsource-Therapy at Work, LLC | Past | Accepting new patients | |
| Quest Norman LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2702 | OK | Yes |
Addresses
Primary practice location
400 N Eastern Ave
Moore, OK 73160-5833
Mailing address
4821 N Independence Ave
Oklahoma City, OK 73112-5948
Phone (402) 276-5587
Other practice location 1
4350 Will Rogers Pkwy Ste 600
Oklahoma City, OK 73108-1808
Phone (405) 948-2813
Other providers in Moore, OK
- Jessie Barnett
- Jason Barrett
- Valeria Barrett
- Rory Barron
- Kayla Barry
- Emily Bates
- Kaitlyn R Bauer
- Gordon James Bean
- Reba Beard
- Nicholas Ryan Beasley
All providers in Moore, 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 Sep 8, 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.