OrganizationActive
Functional Assestment Centers of Oklahoma
NPI 1952475154 · Physical Therapy Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1952475154
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Wallace, Director(405) 879-6766
- License
- PT2855 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
409 E. California Ave.
Oklahoma City, OK 73104
Phone: (405) 879-6766
Fax: (405) 879-3493
Approximate (ZIP-level) locationGet directions
Mailing address
409 E. California Ave.
Oklahoma City, OK 73104
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.