EAGLES NEST PEDIATRIC THERAPY NPI 1073257093

NPI Information

NPI: 1073257093
Provider Name: EAGLES NEST PEDIATRIC THERAPY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
14700 SHARON SPRINGS DR
JONES, OK
ZIP 73049
Phone: (405) 623-9178
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EAGLES NEST PEDIATRIC THERAPY is a multi-specialty clinic center in Jones, OK. EAGLES NEST PEDIATRIC THERAPY NPI is 1073257093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14700 SHARON SPRINGS DR
JONES, OK
ZIP 73049-700
Phone: (405) 623-9178

The provider's authorized official is Jennifer L Fitzpatrick .
The authorized official title is Owner and has the following contact phone number (405) 623-9178.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 7/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2251P0200X	Physical Therapist	Pediatrics	No
2	225XP0200X	Occupational Therapist	Pediatrics	No
3	235Z00000X	Speech-Language Pathologist		No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1538279229	OTHER	OKLAHOMA	INDIVIDUAL NPI
2	1593	OTHER	OKLAHOMA	OKLAHOMA MEDICAL LICENSURE BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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