Basic Information
Provider Information
NPI: 1104867985
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOYT
FirstName: CORTNEY
MiddleName: SUZANNE
NamePrefix:  
NameSuffix:  
Credential: MS PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 440 MERCHANT DR STE 404
Address2:  
City: NORMAN
State: OK
PostalCode: 730696470
CountryCode: US
TelephoneNumber: 4058098713
FaxNumber:  
Practice Location
Address1: 3699 NW 32ND ST
Address2:  
City: NEWCASTLE
State: OK
PostalCode: 730656559
CountryCode: US
TelephoneNumber: 4053875520
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2006
LastUpdateDate: 08/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1144913TXN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X5613OKY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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