Amber Nichol Becker, DPT

Individual provider Active NPI Physical Therapist · Oklahoma City, OK

NPI 1861789596 · NPPES record last updated Jul 1, 2011

Key facts

NPI
1861789596
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT4464 (OK)
Practice address
3333 W Hefner Rd
Suite a
Oklahoma City, OK 73120-5060
Phone
(405) 751-9955
Fax
(405) 751-9988
NPI assigned
Jul 1, 2011
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)
Yes

State licenses

LicenseStateTypeSpecialty
4464OKMDGeneral Practice Dentistry
PT4464OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelson Physical Therapy Physical Therapist Past
since Jul 12, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4464 OK Yes

Addresses

Primary practice location

3333 W Hefner Rd
Suite a
Oklahoma City, OK 73120-5060

Mailing address

3333 W Hefner Rd
Suite a
Oklahoma City, OK 73120-5060
Phone (405) 751-9955

Other names

  • Amber Sapp Former name

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Physical Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.