SOUTHEASTERN OKLAHOMA OUTPATIENT REHAB (NPI# 1093709628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093709628 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OKLAHOMA OUTPATIENT REHAB |
| Practice Address |
1425 Lincoln Rd Suite B-3 Idabel OK 74745-7345 |
| Mailing Address |
Po Box 3070 Texarkana TX 75504-3070 |
| Practice Telephone | 5802864842 |
| Practice Fax Number | 9037355399 |
| Mailing Telephone | 9037355356 |
| Mailing Fax Number | 9037355399 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY BARLOW (ADMINISTRATOR) |
| Authorized Official Telephone | 9036144402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | ========= | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS | 441764286001 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHEASTERN OKLAHOMA OUTPATIENT REHABILITATION CENTER, L.L.C. | 1425 Lincoln Rd Ste B-3, Idabel, OK 74745 |
| Street Address |
1425 LINCOLN RD SUITE B-3 |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-7345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638914 | April L Hurst | Physical Therapist | 1425 Lincoln Rd, Suite B-3, Idabel, OK 74745-7345 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| 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 |
|---|---|---|---|---|
| 1659444156 | Chance Chetta Saelim | Physical Therapist | 1301 Se Lynn Lane, Chance Physical Therapy & Fitness PC, Idabel, OK 74745-6845 | 2006-11-15 |
| 1619925013 | Christopher Skelton | Physical Therapist | 1430 E Lincoln Rd, Idabel, OK 74745-7343 | 2006-05-05 |
| 1386638914 | April L Hurst | Physical Therapist | 1425 Lincoln Rd, Suite B-3, Idabel, OK 74745-7345 | 2005-09-09 |
| 1497003404 | Bethany Marie Patterson | Physical Therapist | 902 E Lincoln Rd, Idabel, OK 74745-7337 | 2012-08-22 |
| 1013087063 | Joseph A Kennedy | Physical Therapist | 902 E Lincoln Rd, Idabel, OK 74745-7337 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178620 | Matthew Scott Manzo | Physical Therapist | 6039 Berry St, Fort Sill, OK 73503-4445 | 2020-09-14 |
| 1497360135 | Ashley Paige Condit | Physical Therapist | 1401 Sw 34th St Ste 300, Moore, OK 73160-3059 | 2020-09-10 |
| 1083229983 | Mathew Connor Stockton | Physical Therapist | 4224 Nw 147th St, Oklahoma City, OK 73134-1813 | 2020-09-09 |
| 1770196966 | Kellen J Allen | Physical Therapist | 922 North A St, Elgin, OK 73538 | 2020-08-26 |
| 1700495686 | Lin-kai Wang | Physical Therapist | 13312 Creekside Dr, Oklahoma City, OK 73131-1290 | 2020-07-27 |
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1558988402 | Andrea Mckenzie Rock | Physical Therapist | 11319 S State Highway 51 Ste 1000, Coweta, OK 74429-7164 | 2020-06-26 |
| 1023634896 | Alvin George Varghese | Physical Therapist | 3717 1/2 N Lee Ave, Oklahoma City, OK 73118-7047 | 2020-06-17 |
| 1053936252 | Kimberly Shay Nash | Physical Therapist | 5980 E 144th St N, Collinsville, OK 74021-7428 | 2020-06-12 |
| 1487279113 | Desirae Rose Woodford | Physical Therapist | 840 Research Pkwy Ste 165, Oklahoma City, OK 73104-3616 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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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.