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

Jacquelyn Dove Payne, PTA

Individual provider Physical Therapy Assistant · NPI 1447596358

Jacquelyn Dove Payne, PTA is a Physical Therapy Assistant in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4300 W Houston St
Broken Arrow, OK 74012-4519
Phone: (918) 307-0233
Fax: (918) 307-0233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 417 (OK)

Record details

NPI number1447596358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 20, 2012
Last updated in NPPESDecember 20, 2012

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