IndividualActive
Alex Nevitt, DPT
NPI 1174004139 · Physical Therapist · Broken Arrow, OK
Provider details
- NPI number
- 1174004139
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5570 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2560 E Kenosha St
Broken Arrow, OK 74014-6712
Phone: (918) 994-7864
Fax: (918) 994-7884
Approximate (ZIP-level) locationGet directions
Mailing address
109 Kerr Ave
Poteau, OK 74953-5270
Additional practice locations (1)
- 109 Kerr AvePoteau, OK 74953-5270Phone: (918) 567-1100
Registry dates
- Enumerated
- 2018-08-27
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.