REHABSOURCE, LLC (NPI# 1063425023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063425023 |
| Entity Type | Organization |
| Organization Name | REHABSOURCE, LLC |
| Practice Address |
4350 Will Rogers Pkwy Suite 600 Oklahoma City OK 73108-1826 |
| Practice Telephone | 4059431144 |
| Practice Fax Number | 4059430127 |
| Mailing Telephone | 4059431144 |
| Mailing Fax Number | 4059430127 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MIKE DIMOND (TRUSTEE) |
| Authorized Official Telephone | 4059431144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| X | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4350 WILL ROGERS PKWY SUITE 600 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73108-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249719 | Caresource, LLC | Durable Medical Equipment & Medical Supplies | 4350 Will Rogers Pkwy, Oklahoma City, OK 73108-1826 | 2005-10-19 |
| 1366925315 | Rachael Holloway | Physical Therapy Assistant | 4350 Will Rogers Pkwy, Oklahoma City, OK 73108-1826 | 2018-09-14 |
| 1225496706 | Ambassador Operations LLC | Skilled Nursing Facility | 4350 Will Rogers Pkwy, Suite 300, Oklahoma City, OK 73108-1826 | 2016-01-29 |
| 1093170615 | Richard Lloyd Anderson | Physical Therapist | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2015-12-25 |
| 1538558705 | Stacey Renee Wells | Occupational Therapy Assistant | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2015-01-12 |
| 1922496512 | Suzanne Denise Suddath | Occupational Therapy Assistant | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2015-01-05 |
| 1568850741 | Sterling Danielle Barnett | Occupational Therapist | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2014-12-22 |
| 1558610337 | Brad Jimmie Hayes-milligan | Pharmacist | 4350 Will Rogers Pkwy, Ste 200, Oklahoma City, OK 73108-1826 | 2012-09-07 |
| 1447523386 | Raymond Jay Young Jr. | Pharmacist | 4350 Will Rogers Pkwy, Oklahoma City, OK 73108-1826 | 2012-02-22 |
| 1700116472 | Ana M Stone | Community Health Worker | 4350 Will Rogers Pkwy, Ste 600, Oklahoma City, OK 73108-1826 | 2009-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477714 | Dionna Danielle Weixel | Counselor | 4341 Will Rogers Parkway, Oklahoma City, OK 73108 | 2017-06-18 |
| 1497205389 | Amber Croom | Case Manager/Care Coordinator | 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 | 2016-10-04 |
| 1063837524 | Bobby King | Counselor | 401 46th St., Oklahoma City, OK 73108 | 2014-02-20 |
| 1104167816 | Chad Jeffrey Perry | Physical Therapy Assistant | 238 Quadrum Drive, Oklahoma City, OK 73108 | 2013-03-05 |
| 1295071918 | Avalon Corrections | Case Management | 400 S. May, Oklahoma City, OK 73108 | 2012-12-28 |
| 1164608790 | American Current Care P.a. | Clinic/Center | 200 Quadrum Drive, Oklahoma City, OK 73108 | 2008-01-14 |
| 1790960672 | Fresh Start Counseling Services Inc | Community/Behavioral Health | 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 | 2008-01-09 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| 1902027287 | Joel William Corn | Family Medicine | 1506 S Agnew, Okha City, OK 73108 | 2007-05-02 |
| 1851493944 | Good Shepherd Hospice Inc | Hospice Care, Community Based | 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 | 2006-09-01 |
| Find all providers in zip 73108 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229983 | Mathew Connor Stockton | Physical Therapist | 4224 Nw 147th St, Oklahoma City, OK 73134-1813 | 2020-09-09 |
| 1700495686 | Lin-kai Wang | Physical Therapist | 13312 Creekside Dr, Oklahoma City, OK 73131-1290 | 2020-07-27 |
| 1023634896 | Alvin George Varghese | Physical Therapist | 3717 1/2 N Lee Ave, Oklahoma City, OK 73118-7047 | 2020-06-17 |
| 1487279113 | Desirae Rose Woodford | Physical Therapist | 840 Research Pkwy Ste 165, Oklahoma City, OK 73104-3616 | 2020-06-09 |
| 1871126383 | Boomer 06, Pllc | Physical Therapist | 10921 S Western Ave Ste 200, Oklahoma City, OK 73170-6228 | 2020-02-13 |
| 1538790811 | Ann Marie Satterlee | Physical Therapist | 6400 N. Santa Fe Ste B, Oklahoma City, OK 73116-9111 | 2020-01-27 |
| 1417587676 | Ryan Edward Elassal | Physical Therapist | 7919 Mid America Blvd Ste 100, Oklahoma City, OK 73135-6611 | 2020-01-16 |
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1083264188 | Robyn Carter | Physical Therapist | 8809 S Sooner Rd, Oklahoma City, OK 73135-6605 | 2019-09-19 |
| 1821559832 | Katie M Ditommaso | Physical Therapist | 2016 N Lee Ave, Oklahoma City, OK 73103-1816 | 2019-03-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73108 |
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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.