Organization
A STEP AHEAD PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA SCOTT CAPERTON PT, DPT (CO-OWNER)
(918) 544-6101
Entity
Organization
Contact information
Practice address
7134 S. YALE AVE., SUITE 710, TULSA, OK 74136
(918) 544-6101
(918) 600-1163
Mailing address
7134 S. YALE AVE., SUITE 710, TULSA, OK 74136
(918) 544-6101
(918) 600-1163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128610A
—
OK
Enumeration date
11/22/2022
Last updated
03/08/2023
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