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Contact Information

TRAVIS BURDINE, IRT
3005 SW 129TH ST
OKLAHOMA CITY, OK73170-2019
 Phone: 405-831-6996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TRAVIS BURDINE · (Male)

NPI # 1871810663
Status Active
Credentials IRT
Entity Individual
Enumeration date 05/03/2010
Last updated 03/11/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • OK Medicaid 100685660A
  • OK Medicaid 100685660D
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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