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

Jackie McDaniel

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1073693099

Jackie McDaniel is a Physical Medicine & Rehabilitation Physician in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006

Practice location Address checks out

1001 N Country Club Rd
Ada, OK 74820-2847
Phone: (580) 421-4570
Fax: (580) 421-6283
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1265 (OK)

Record details

NPI number1073693099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 23, 2007
Mailing address1001 N Country Club Rd, Ada, OK 74820-2847

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