Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bespoke Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1952139388

Bespoke Physical Therapy LLC is a Physical Therapy Clinic/Center in Broken Arrow, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4907 E Galveston Pl
Broken Arrow, OK 74014-2342
Phone: (918) 841-6257
Fax: (539) 399-7520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1952139388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikolaus Prescott — Owner · (918) 841-6257
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address4907 E Galveston Pl, Broken Arrow, OK 74014-2342

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