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Contact Information

ROBERT J ELLISON, MPT
2488 E 81ST ST STE 290
TULSA, OK74137-4265
 Phone: 918-494-2665
 Fax: 918-927-3201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ROBERT J ELLISON · (Male)

NPI Number 1508832114
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 02/23/2006
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3486
  • OK Medicaid 20076160A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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