BROKEN ARROW REHABILITATION SPECIALISTS (NPI# 1477746741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477746741 |
| Entity Type | Organization |
| Organization Name | BROKEN ARROW REHABILITATION SPECIALISTS |
| Practice Address |
2950 S Elm Pl Ste 240 Broken Arrow OK 74012-7871 |
| Practice Telephone | 9184515276 |
| Practice Fax Number | 9184515123 |
| Mailing Telephone | 9184515276 |
| Mailing Fax Number | 9184515123 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | KRISTINA CLAMMER (OFFICE MANAGER) |
| Authorized Official Telephone | 9184515276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | OK4055 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225400000X | Rehabilitation Practitioner | OK19313 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225400000X | Rehabilitation Practitioner | OK19953 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2950 S ELM PL STE 240 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-7871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783933 | Angela Peterson | Rehabilitation Practitioner | 745 Ne 81st St, Oklahoma City, OK 73114-4001 | 2020-02-24 |
| 1801136619 | Amy Elizabeth Nickel | Rehabilitation Practitioner | 6119 N Parker Drive, Stillwater, OK 74075-5410 | 2013-02-15 |
| 1750629838 | Daniel Eric Bennett | Rehabilitation Practitioner | 202 S. Main St, Watts, OK 74964 | 2013-01-23 |
| 1962746214 | Carol Yeager Hargis | Rehabilitation Practitioner | Rr 4 Box 1107, Coalgate, OK 74538-9639 | 2012-11-26 |
| 1770844896 | Lucas Michael Reese | Rehabilitation Practitioner | 5929 N May Ave Ste 218, Oklahoma City, OK 73112-3925 | 2012-06-05 |
| 1306112503 | Paul Smith | Rehabilitation Practitioner | 2941 E 94th Pl, Tulsa, OK 74137-8723 | 2012-04-02 |
| 1629342464 | Shelli R. Simmons | Rehabilitation Practitioner | 2016 Ne 18th St, Oklahoma City, OK 73111-1628 | 2012-02-24 |
| 1609144062 | Erica Johnson | Rehabilitation Practitioner | 6942 S Joplin Ave Apt 1001, Tulsa, OK 74136-3519 | 2011-12-13 |
| 1114202090 | Adrian A Brown | Rehabilitation Practitioner | 433 Wilshire Blvd Suite B, Oklahoma City, OK 73116-7777 | 2011-10-11 |
| 1851685994 | Amanda Lee Carter | Rehabilitation Practitioner | 1900 Lakeview, Mcalester, OK 74501-2180 | 2011-06-07 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.