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HUMAN PERFORMANCE CENTER 3 PLLC NPI 1669506978


NPI Information

NPI: 1669506978
Provider Name: HUMAN PERFORMANCE CENTER 3 PLLC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
520 FLYNN ST
ALVA, OK
ZIP 73717
Phone: (580) 327-3331
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HUMAN PERFORMANCE CENTER 3 PLLC is a sports medicine physical medicine rehabilitation in Alva, OK. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. HUMAN PERFORMANCE CENTER 3 PLLC NPI is 1669506978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 FLYNN ST
ALVA, OK
ZIP 73717-240
Phone: (580) 327-3331
Fax: (580) 327-3314

The provider's authorized official is Jerrad Hada .
The authorized official title is Partner/therapist and has the following contact phone number (580) 327-3331.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 7/2/2019.


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 License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

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
1800522226OTHEROKLAHOMAMEDICARE PTAN

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

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