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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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MILLER, JONATHAN MARK       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: FUNCTIONAL REHABILITATION
6400 N. SANTA FE AVE STE. B
OKLAHOMA CITY OK 73116-9126
Address last updated on 2/5/2024
Phone #: (405) 840-2903
Fax #:
County: OKLAHOMA
License: 2782
Dated: 7/31/1998
Expires: 1/31/2025
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
FUNCTIONAL REHABILITATION
6400 N. SANTA FE AVE STE. B
OKLAHOMA CITY OK 73116-9126
Phone #: (405) 840-2903
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAURYN ASHLEIGH BECERRA TA 3537
KRISTIN NICOLE BRADLEY TA 1422
RACHEL MARIE JOINER TA 2485
KENDRA CELIA MARTINEZ TA 3385
JACQUELINE JANENE MEEKS TA 1057
GINA MICHELE MOLSKNESS TA 150
KYLEE MICHAELA MOORE TA 3143
TREVOR NEVILLE TA 3049
PIERRE NGALANI TA 2380
JORDAN ROSS PYLE TA 3309
JAMIE LYNAE SECKEL TA 2887
AMY L. SHAW TA 605

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