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

Miguel Donato Mora

Individual provider Physical Therapy Assistant · NPI 1699658500

Miguel Donato Mora is a Physical Therapy Assistant in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

1251 W Houston St
Broken Arrow, OK 74012-3734
Phone: (539) 367-4500
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3792 (OK)

Record details

NPI number1699658500
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address2114 E 32nd St N, Tulsa, OK 74110-1113

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