Strides Pediatric Therapy
Physical Therapist in Owasso, OK. Organization (NPI-2).
NPI number1164061123
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1164061123
- Entity type
- Organization (NPI-2)
- Legal business name
- Strides Pediatric Therapy
- Organization subpart
- No
- Enumeration date
- Dec 22, 2019
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
7738 N Owasso ExpyOwasso, OK 74055
Phone 918-928-4255 · Fax 918-928-4258
Mailing address
7738 N Owasso ExpwyOwasso, OK 74055
Phone 918-928-4255 · Fax 918-928-4258
Authorized official
Wade Kennedy Willis
Owner
9189284255
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