Misti Carpenter, PTA

Individual provider Active NPI Physical Therapy Assistant · Bethany, OK

NPI 1821334590 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1821334590
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A03799 (KY)
Practice address
6800 NW 39TH Expy
Bethany, OK 73008-2513
Phone
(405) 789-6711
NPI assigned
Dec 27, 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
A03799KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Healthcare Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A03799 KY Yes

Addresses

Primary practice location

6800 NW 39TH Expy
Bethany, OK 73008-2513

Mailing address

6828 W 8TH Street Rd
Anderson, IN 46011-9709

Other providers in Bethany, OK

All providers in Bethany, OK · Physical Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.