PHYSICAL REHABILITATION CENTER ON RIVERSIDE, LLC (NPI# 1477865210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477865210 |
Entity Type | Organization |
Organization Name | PHYSICAL REHABILITATION CENTER ON RIVERSIDE, LLC |
Practice Address |
9716 Riverside Pkwy 201 Tulsa OK 74137-7397 |
Mailing Address |
5577 S Lewis Ave Tulsa OK 74105-7132 |
Practice Telephone | 9187490003 |
Practice Fax Number | 9187490210 |
Mailing Telephone | 9187490003 |
Mailing Fax Number | 9187490210 |
Enumeration Date | 2010-07-09 |
Last Update Date | 2011-07-08 |
Authorized Official Name | GAIL M PIANALTO (PRESIDENT) |
Authorized Official Telephone | 9187490003 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
9716 RIVERSIDE PKWY 201 |
City | TULSA |
State | OK |
Zip Code | 74137-7397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174540744 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 9716 Riverside Pkwy, Ste 110, Tulsa, OK 74137-7447 | 2006-07-17 |
1487125787 | My Hanh Tran | Physician Assistant | 9716 Riverside Pkwy, Tulsa, OK 74137-7447 | 2018-12-12 |
1023524766 | Rachel Ireton | Physician Assistant | 9716 Riverside Pkwy, Tulsa, OK 74137-7447 | 2017-12-18 |
1093259509 | Ryan Nussbaum | Physician Assistant | 9716 Riverside Pkwy, Suite 100, Tulsa, OK 74137-7447 | 2016-12-19 |
1891032017 | Corie Detwiler | Physician Assistant | 9716 Riverside Pkwy, Tulsa, OK 74137-7447 | 2013-01-08 |
1316258882 | Janna K Burkus | Emergency Medicine | 9716 Riverside Pkwy, Ste 100, Tulsa, OK 74137 | 2010-06-29 |
1861662744 | Chad A Perkins | Specialist/Technologist, Other | 9716 Riverside Pkwy, Ste 100, Tulsa, OK 74137 | 2008-03-06 |
1265537757 | Alfred Gartzke | Physician Assistant | 9716 Riverside Pkwy, Ste 100, Tulsa, OK 74137 | 2006-09-13 |
1306952593 | Statcare Clinics of Green Country LLC | Clinic/Center | 9716 Riverside Pkwy, Suite 100, Tulsa, OK 74137-7397 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
Find all providers in zip 74137 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
1942829700 | Vitality Sports Physical Therapy, LLC | Clinic/Center | 3841 Riverside Dr, Tulsa, OK 74105-3045 | 2020-04-13 |
1619357852 | Recover LLC | Clinic/Center | 2504 E 14th Pl, Tulsa, OK 74104-4607 | 2015-06-03 |
1508006255 | Therapy Plus Rehabilitation Inc | Clinic/Center | 5226 E 69th Pl, Tulsa, OK 74136-3407 | 2009-02-20 |
1578727939 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 3900 N. Mingo Rd, Tulsa, OK 74116 | 2008-07-15 |
1952428930 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 9515 E. 51st Street, Suite G, Tulsa, OK 74145 | 2007-03-23 |
1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
1356404313 | Oklahoma Physical Therapy | Clinic/Center | 10915 E 31st St, B12, Tulsa, OK 74146-1745 | 2006-12-19 |
1457375214 | Physical Rehabilitation Center Inc. | Clinic/Center | 5577 S Lewis Ave, Tulsa, OK 74105-7132 | 2006-07-26 |
1316986722 | Mobile Cardiac Imaging, LLC | Clinic/Center | 7018 S Utica Ave, Tulsa, OK 74136-3907 | 2006-06-05 |
Find all providers in TULSA |
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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.