Basic Information
| Provider Information | |||||||||
| NPI: | 1811562937 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PILE | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | MORGAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13355 S 49TH WEST AVE | ||||||||
| Address2: | |||||||||
| City: | SAPULPA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740667284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185272352 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9515 E 51ST ST STE G | ||||||||
| Address2: | |||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741459053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9186227488 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2021 | ||||||||
| LastUpdateDate: | 05/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.