INTEGRIS AMBULATORY CARE CORPORATION (NPI# 1023039187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023039187 |
| Entity Type | Organization |
| Organization Name | INTEGRIS AMBULATORY CARE CORPORATION |
| Other Organization Name | INTEGRIS JIM THORPE OP REHAB |
| Practice Address |
2111 Riverwalk Dr Moore OK 73160-2700 |
| Mailing Address |
5300 N Independence Ave 100 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4057937885 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | C BRUCE LAWRENCE (PRESIDENT/CEO) |
| Authorized Official Telephone | 4059496066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100736700A | 05 |
| Other Name | Type Code |
|---|---|
| Integris Jim Thorpe OP Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
| 1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
| 1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
| 1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
| 1477090652 | Integris Ambulatory Care Corporation | Clinic/Center | 2203 S Main St, Grove, OK 74344-5329 | 2017-01-25 |
| 1750333936 | Integris Ambulatory Care Corporation | Internal Medicine | 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 | 2006-05-16 |
| 1114432507 | Integris Ambulatory Care Corporation | Family Medicine | 7301 Sw 44th St Ste A, Oklahoma City, OK 73179-4309 | 2017-12-06 |
| 1164669503 | Integris Ambulatory Care Corporation | Clinic/Center | 401 S 3rd St, Enid, OK 73701-5737 | 2009-01-07 |
| 1033320825 | Integris Ambulatory Care Corporation | Clinic/Center | 3434 Nw 56th St, Suite # 101, Oklahoma City, OK 73112-4488 | 2007-05-24 |
| Street Address |
2111 RIVERWALK DR |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467392 | Ashley Raenee Powell | Physical Therapist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2017-06-21 |
| 1679093793 | Stephanie Leigh Spears | Physical Therapist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2017-06-20 |
| 1083065452 | Integris Health | Clinic/Center | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2016-06-28 |
| 1639542848 | Alanna Clark | Speech-Language Pathologist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2015-11-10 |
| 1023497153 | Linda W Cooper | Occupational Therapist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2015-05-21 |
| 1447669346 | Jessica Stephens | Speech-Language Pathologist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2014-08-05 |
| 1174933402 | Elizabeth Hall | Speech-Language Pathologist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2014-05-08 |
| 1316386956 | Julia Dunk | Physical Therapist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2013-06-17 |
| 1437492568 | Heath Scott Gibson | Physical Therapist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2013-03-27 |
| 1164786711 | Tram Bich Cao | Physical Therapist | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2012-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499250 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4400 Grant Blvd Ste 105, Yukon, OK 73099-0038 | 2020-05-18 |
| 1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
| 1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
| 1194373027 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1841 Piedmont Rd N Ste C, Piedmont, OK 73078-7008 | 2019-09-04 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
| 1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
| 1477090652 | Integris Ambulatory Care Corporation | Clinic/Center | 2203 S Main St, Grove, OK 74344-5329 | 2017-01-25 |
| 1790969053 | South Tulsa Performance Health | Clinic/Center | 7112 S Mingo Rd Ste 101, Tulsa, OK 74133-3267 | 2007-12-21 |
| 1861568859 | Goodwill Industries of Tulsa Inc | Clinic/Center | 2800 Southwest Blvd, Tulsa, OK 74107-3817 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.