REY AMEZQUITA (NPI# 1396155222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396155222 |
| Entity Type | Individual |
| Full Name | REY AMEZQUITA |
| Credential | CERTIFIED ORTHOTIST |
| Practice Address |
4802 S 109th East Ave Brace Shop Tulsa OK 74146-5822 |
| Practice Telephone | 9183921500 |
| Practice Fax Number | 9183921590 |
| Mailing Telephone | 9183921500 |
| Mailing Fax Number | 9183921590 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 57 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4802 S 109TH EAST AVE BRACE SHOP |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500415 | Jaafar M Bazih | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-07 |
| 1285294710 | Tbj Advanced Care LLC | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2019-06-17 |
| 1003391905 | Rebecca Holland | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2018-09-27 |
| 1730685314 | Johnathon David Millwee | Specialist/Technologist | 4802 S 109th East Ave, Tulsa, OK 74146 | 2018-04-03 |
| 1124400064 | Craig Stewart | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2015-06-28 |
| 1700223070 | Thomas Calvin Blair IIi | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-05-28 |
| 1396082137 | Ashley Linn Legg | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-01-14 |
| 1417251372 | Luis Hernandez | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2011-01-06 |
| 1720306277 | Jason Griffin | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-05-07 |
| 1568784957 | Jessica Rey Childe | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255869533 | Brian Dayle Brame | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-31 |
| 1720515810 | Elizabeth Marie Devries | Orthotist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-19 |
| 1265969596 | Sarah Lorraine Matthews | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-17 |
| 1225270333 | Amy Lee Wachtman | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-04-03 |
| 1548407299 | Harry P Sheppard | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-17 |
| 1922245679 | James E Yount | Orthotist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-01-16 |
| 1902043656 | Scott Stromberg | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1144577909 | Nicholas J Chelenza IIi | Orthotist | 1915 W Gore Blvd Ste 1, Lawton, OK 73501-3661 | 2012-08-12 |
| 1285941922 | Blake Evan Barlow | Orthotist | 7510 Broadway Ext Ste 204, Oklahoma City, OK 73116-9031 | 2010-09-01 |
| 1386881035 | Richard L Foster | Orthotist | 125 N Porter Ave, Norman, OK 73071-5834 | 2009-01-16 |
| 1649417395 | Larry Kindle | Orthotist | 1510 E Shawnee Cir, Tahlequah, OK 74464-2528 | 2009-01-16 |
| 1295972941 | Gary Kester | Orthotist | 330 S 5th St Ste 103, Enid, OK 73701-5860 | 2009-01-16 |
| 1841301462 | Daniel Adam Thies | Orthotist | 480 E 141st St Ste E, Glenpool, OK 74033-3550 | 2006-08-31 |
| 1851321475 | Harry Layton | Orthotist | 2724 W Gore Blvd, Lawton, OK 73505-6319 | 2006-07-03 |
| 1861461998 | William Barringer | Orthotist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2006-03-14 |
| 1093274854 | Kayla Carte | Orthotist | 4207 W Memorial Rd, Oklahoma City, OK 73134-1761 | 2019-03-19 |
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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.