MR. MASTON BRADLEY WOLFE III (NPI# 1669668042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669668042 |
| Entity Type | Individual |
| Full Name | MR. MASTON BRADLEY WOLFE III |
| Credential | MPT |
| Practice Address |
6525 N Meridian Ave Suite 311 Oklahoma City OK 73116-1420 |
| Practice Telephone | 4057211115 |
| Practice Fax Number | 4057281115 |
| Mailing Telephone | 4057211115 |
| Mailing Fax Number | 4057281115 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4004 | OK | Ambulatory Health Care Facilities |
| Street Address |
6525 N MERIDIAN AVE SUITE 311 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700904471 | Marilyn Kay Adcock | Physical Therapy Assistant | 6525 N Meridian Ave, #311, Oklahoma City, OK 73116-1420 | 2007-03-27 |
| 1841615358 | David Fuller | Physical Therapist | 6525 N Meridian Ave, #311, Oklahoma City, OK 73116-1420 | 2014-02-20 |
| 1174965941 | Barbara Byrd | Community Health Worker | 6525 N Meridian Ave, Oklahoma City, OK 73116-1420 | 2013-07-22 |
| 1013356591 | Rachele Quinones | Occupational Therapist | 6525 N Meridian Ave, Ste, Oklahoma City, OK 73116-1420 | 2013-06-18 |
| 1417206871 | Jacquelyn Faye Reaves | Occupational Therapist | 6525 N Meridian Ave, Suite 311, Oklahoma City, OK 73116-1420 | 2012-08-31 |
| 1972851467 | Ingram Co | Family Medicine | 6525 N Meridian Ave, Oklahoma City, OK 73116-1420 | 2012-08-15 |
| 1861767766 | Lashonda Love | Community Health Worker | 6525 N Meridian Ave, Suite 311, Oklahoma City, OK 73116-1420 | 2012-03-12 |
| 1114258316 | Susanna Hirst | Physical Therapist | 6525 N Meridian Ave, Oklahoma City, OK 73116-1420 | 2010-01-27 |
| 1992033765 | Denise C. Clemans Hutchins | Physical Therapist | 6525 N Meridian Ave, Ste. 311, Oklahoma City, OK 73116-1420 | 2009-12-06 |
| 1326297193 | Jennifer Beth Martin | Occupational Therapist | 6525 N Meridian Ave, 311, Oklahoma City, OK 73116-1420 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1851854368 | Physical Therapy Services, LLC | Clinic/Center | 200 N Classen Blvd, Oklahoma City, OK 73106-7627 | 2019-04-11 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1841659463 | Peak Solutions, LLC | Clinic/Center | 9400 N Broadway, Suite 120, Oklahoma City, OK 73114-7451 | 2016-02-11 |
| 1548538655 | Functional Performance Training and Physical Therapy, Pllc | Clinic/Center | 13512 N Eastern Ave, Suite A, Oklahoma City, OK 73131-1812 | 2011-12-02 |
| 1881998870 | Performax Therapy Services | Clinic/Center | 4334 Nw Expressway Ste 176, Oklahoma City, OK 73116-1550 | 2011-01-05 |
| 1750691226 | Five Star Physical Therapy and Sport Medicine, LLC | Clinic/Center | 6801 Norht Classen Blvd., Suite #b, Oklahoma City, OK 73116 | 2010-10-18 |
| 1073777991 | Rehabsource-therapy At Work, LLC | Clinic/Center | 4141 Nw Expressway Ste 325, Oklahoma City, OK 73116-1675 | 2008-07-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on MR. MASTON BRADLEY WOLFE III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.