# BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OUPT Sports Medicine and Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477905610
- **Authorized official:** JONATHAN JOINER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (918) 660-3000

## Contact information

- **Practice address:** 5005 S DARLINGTON AVE, \#100, TULSA, OK 74135-7307
- **Practice address phone:** (918) 619-4400
- **Practice address fax:** (918) 619-4662
- **Mailing address:** PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
- **Mailing address phone:** (918) 660-3632
- **Mailing address fax:** (918) 660-3631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | NULL | Yes |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016