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

Individual provider Physical Therapy Assistant · NPI 1043526007

Mike Lee Moody, PTA is a Physical Therapy Assistant in Miami, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2010
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

1505 E Steve Owens Blvd
Miami, OK 74354-7917
Phone: (918) 540-4101
Fax: (918) 540-4410
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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 1854 (OK)

Record details

NPI number1043526007
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 27, 2010
Last updated in NPPESAugust 27, 2010

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