Individual
MR. JEFFREY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1710
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200080820A
MEDICAID LEGACY
OK
05
—
200080820A
—
OK
01
—
244612816
MEDICARE LEGACY
OK
01
—
P00317711
MEDICARE RAILRAOD
OK
Enumeration date
08/12/2006
Last updated
07/28/2026
Update your record
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