Provider Demographics
NPI:1144920935
Name:ATTAIN PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:ATTAIN PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:918-417-2607
Mailing Address - Street 1:11462 S UNION AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037
Mailing Address - Country:US
Mailing Address - Phone:918-417-2607
Mailing Address - Fax:918-417-2601
Practice Address - Street 1:11462 S UNION AVE
Practice Address - Street 2:SUITE E
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037
Practice Address - Country:US
Practice Address - Phone:918-417-2607
Practice Address - Fax:918-417-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty