SPINAL THERAPEUTIC SERVICES INC (NPI# 1063610087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063610087 |
| Entity Type | Organization |
| Organization Name | SPINAL THERAPEUTIC SERVICES INC |
| Practice Address |
4415 S Harvard Ave Ste. 204 Tulsa OK 74135-2620 |
| Practice Telephone | 9187431133 |
| Practice Fax Number | 9187436993 |
| Mailing Telephone | 9187431133 |
| Mailing Fax Number | 9187436993 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | MR. CRAIG HUEY (PRESIDENT) |
| Authorized Official Telephone | 9187431133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS | 444429855003 | 01 |
| Street Address |
4415 S HARVARD AVE STE. 204 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149566 | William Delgado | Ophthalmology | 4415 S Harvard Ave, 202, Tulsa, OK 74135-2620 | 2005-07-29 |
| 1659858124 | Stephanie Winfield | Audiologist | 4415 S Harvard Ave, Tulsa, OK 74135-2620 | 2018-07-26 |
| 1245783885 | Jennifer Chikar | Hearing Instrument Specialist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2016-08-01 |
| 1316349384 | Nicole Burkhardt | Speech-Language Pathologist | 4415 S Harvard Ave, #125, Tulsa, OK 74135-2620 | 2014-09-22 |
| 1760822506 | Lindsey Pyle | Audiologist | 4415 S Harvard Ave, #125, Tulsa, OK 74135-2620 | 2013-06-25 |
| 1487991949 | Jennifer Marie Smith | Nurse Practitioner | 4415 S Harvard Ave, Suite 202, Tulsa, OK 74135-2620 | 2013-01-03 |
| 1083977094 | Huyen Thai Luong | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2012-06-25 |
| 1386904480 | Julie Carlson Hyland | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2012-05-22 |
| 1154614899 | Barbra Morykwas | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2011-05-26 |
| 1972753556 | Andrea Nicole Satterlee | Audiologist | 4415 S Harvard Ave, Suite 125, Tulsa, OK 74135-2620 | 2008-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295914414 | Dr Ashok Kache Md Inc | Physical Medicine & Rehabilitation | 1145 S Utica Ave Ste 403, Tulsa, OK 74104-4015 | 2007-10-24 |
| 1487751004 | Ashok Kache | Physical Medicine & Rehabilitation | 1145 So Utica, #403, Tulsa, OK 74104-4007 | 2006-09-17 |
| 1700847118 | Andrew R Briggeman | Physical Medicine & Rehabilitation | 6825 S Delaware Ave, Tulsa, OK 74136-4502 | 2006-03-28 |
| 1992788368 | Annie Venugopal | Physical Medicine & Rehabilitation | 1705 E 19th Street, Suite 501, Tulsa, OK 74104-5416 | 2005-11-21 |
| 1033601752 | Alyxandria Calvert | Physical Medicine & Rehabilitation | 4157 S Harvard Ave Ste 101, Tulsa, OK 74135-2606 | 2018-05-30 |
| 1790277325 | Kayla Garrett | Physical Medicine & Rehabilitation | 4157 S Harvard Ave Ste 101, Tulsa, OK 74135-2606 | 2018-05-30 |
| 1710430939 | Rehab Doc Pllc | Physical Medicine & Rehabilitation | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2016-07-25 |
| 1528418902 | Molly Ryan | Physical Medicine & Rehabilitation | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2016-06-16 |
| 1679931802 | Oklahoma Drug Testing LLC | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2016-02-02 |
| 1376930594 | Kara Leigh Bunting | Physical Medicine & Rehabilitation | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2015-04-26 |
| 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.