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

Mrs. Dallas Park, PT

Individual provider Physical Therapist · NPI 1720105620

Mrs. Dallas Park, PT is a Physical Therapist in Private Practice in Norman, Oklahoma. Qualified in 2003, 23 years ago. Practices with Norman Regional Providers Specialty Care, a 145-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Licensed in
OK
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

724 24th Ave NW
Norman, OK 73069-6218
Phone: (405) 447-1571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3640 (OK)

Record details

NPI number1720105620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESSeptember 22, 2016
Mailing address4404 Newport Dr, Norman, OK 73072

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Norman Regional Providers Specialty Care — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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