HEALTHPRO HERITAGE REHAB & FITNESS, LLC (NPI# 1083123624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083123624 |
| Entity Type | Organization |
| Organization Name | HEALTHPRO HERITAGE REHAB & FITNESS, LLC |
| Practice Address |
12401 Trail Oaks Dr Oklahoma City OK 73120-1701 |
| Mailing Address |
536 Old Howell Rd Greenville SC 29615-1969 |
| Practice Telephone | 4056383423 |
| Mailing Telephone | 8642443626 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | AMANDA QUIGLEY (MANAGER) |
| Authorized Official Telephone | 8642443626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072462 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 2100 S Swope Dr, Independence, MO 64057-2808 | 2018-08-14 |
| 1942793534 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 4975 N 1st Ave, Tucson, AZ 85718-5614 | 2018-06-08 |
| 1730695065 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 20 Austin Ave Ofc 1, Greenville, RI 02828-1449 | 2017-12-22 |
| 1053833657 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 7770 Burr Street, Schererville, IN 46375-3400 | 2017-07-14 |
| 1376073262 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 | 2017-06-14 |
| 1558434357 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 275 Commonwealth Dr, Greenville, SC 29615-4814 | 2006-11-17 |
| 1235780115 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 715 W 6th St, Mountain Home, AR 72653-3421 | 2019-09-23 |
| 1619528593 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 100 Azalea Dr, Oxford, MS 38655-7372 | 2019-09-23 |
| 1033776331 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 11630 Glen Arm Rd, Glen Arm, MD 21057-9403 | 2019-05-22 |
| 1770054686 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 4600 Bowling Blvd, Louisville, KY 40207-5155 | 2018-12-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Road, Greenville, SC 29615 |
| Washington State Corporations | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Rd, Greenville, SC 29615-1969 |
| Colorado Business Entities | HealthPRO Heritage Rehab & Fitness, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Street Address |
12401 TRAIL OAKS DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497944292 | Quail Ridge Senior Development, LLC | Assisted Living Facility | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2007-10-17 |
| 1942814983 | Quail Ridge Senior Development, LLC | Assisted Living Facility | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2020-09-08 |
| 1659864072 | Stephen Sheffield | Physical Therapist | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2018-06-11 |
| 1750878716 | Ana Maria Bohrmann | Occupational Therapist | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 | 73120 |
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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.