DR. KYLE WOMACK PT DPT NPI 1487036844

NPI Information

NPI: 1487036844
Provider Name: DR. KYLE WOMACK, PT, DPT
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
1501 N BROADWAY AVE
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 633-0193
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DR. Kyle Womack, PT, DPT is a sports physical therapist in Oklahoma City, OK. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. DR. Kyle Womack, PT, DPT NPI is 1487036844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 N BROADWAY AVE
OKLAHOMA CITY, OK
ZIP 73103-609
Phone: (405) 633-0193

The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/18/2021.

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
1	225100000X	Physical Therapist		PT4020	HAWAII	No
2	2251S0007X	Physical Therapist	Sports	4951	OKLAHOMA	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	0	OTHER		N/A

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: 11/14/2023

NPI Synchronization or Removal

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