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

Northwest Institute of Sports Medicine

Organization Specialist · NPI 1760509079

Northwest Institute of Sports Medicine is a Specialist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

4200 W Memorial Rd Ste 1001
Oklahoma City, OK 73120-9350
Phone: (405) 787-7678
Fax: (405) 751-3367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 11348 (OK)

Record details

NPI number1760509079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gene Muse — Physician · (405) 787-7678
NPI enumeratedMarch 23, 2007
Last updated in NPPESJune 19, 2009
Mailing address4200 W Memorial Rd, Suite 1001, Oklahoma City, OK 73120-9350

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