Individual provider · Type 1 NPI

Miguel Donato Mora

Physical Therapy Assistant · Broken Arrow, OK

NPI number 1699658500 Active

Practice location

1251 W Houston St
Broken Arrow, OK 74012-3734

Mailing address

2114 E 32nd St N
Tulsa, OK 74110-1113

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3792 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1699658500

Miguel Donato Mora's National Provider Identifier is 1699658500, issued on Jul 29, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 29, 2025.