Provider Demographics
NPI:1346089174
Name:BICKEL, PAIGE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:
Last Name:BICKEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 BEEBE ST
Mailing Address - Street 2:
Mailing Address - City:JONES
Mailing Address - State:OK
Mailing Address - Zip Code:73049-7519
Mailing Address - Country:US
Mailing Address - Phone:405-538-9905
Mailing Address - Fax:
Practice Address - Street 1:1025 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2806
Practice Address - Country:US
Practice Address - Phone:405-237-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6484225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist