IGNITE SPORTS AND REHAB OF ARDMORE INC (NPI# 1629452149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629452149 |
| Entity Type | Organization |
| Organization Name | IGNITE SPORTS AND REHAB OF ARDMORE INC |
| Practice Address |
908 N Rockford Rd Suite C Ardmore OK 73401-2540 |
| Practice Telephone | 5804903312 |
| Practice Fax Number | 5804903318 |
| Mailing Telephone | 5804903312 |
| Mailing Fax Number | 5804903318 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | BRIAN MARK TREADWELL (CEO / OWNER) |
| Authorized Official Telephone | 5804903312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
4555 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
908 N ROCKFORD RD SUITE C |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053377937 | Steven K Watkins | Family Medicine | 908 N Rockford Rd, Suite G, Ardmore, OK 73401-2540 | 2006-04-21 |
| 1972901650 | Keith Vincent Mcinnerney | Physician Assistant | 908 N Rockford Rd, Suite A, Ardmore, OK 73401-2540 | 2014-12-12 |
| 1043573470 | Blake Bush Family Eyecare Inc. | Optometrist | 908 N Rockford Rd, Suite E, Ardmore, OK 73401-2540 | 2012-06-20 |
| 1184933467 | Steve Watkins Do PC | Preventive Medicine | 908 N Rockford Rd, Suite G, Ardmore, OK 73401-2540 | 2010-10-04 |
| 1316250418 | Barbara Michelle Chapman | Physician Assistant | 908 N Rockford Rd, Ardmore, OK 73401-2540 | 2010-07-17 |
| 1447578273 | Courtney Merle Dewbre | Physical Therapist | 908 N Rockford Rd, Suite C, Ardmore, OK 73401-2540 | 2010-05-04 |
| 1447585302 | Ardmore Pet Associates | Clinic/Center | 908 N Rockford Rd, Suite C, Ardmore, OK 73401-2540 | 2009-10-11 |
| 1386875532 | Urgent Care Center of Ardmore Inc | Clinic/Center | 908 N Rockford Rd, Ardmore, OK 73401 | 2009-08-06 |
| 1235395542 | Blake Robert Bush | Optometrist | 908 N Rockford Rd, Suite E, Ardmore, OK 73401-2540 | 2008-08-06 |
| 1114974383 | Medical Center Pharmacy of Durant Inc | Durable Medical Equipment & Medical Supplies | 908 N Rockford Rd, Suite J, Ardmore, OK 73401-2241 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447578273 | Courtney Merle Dewbre | Physical Therapist | 908 N Rockford Rd, Suite C, Ardmore, OK 73401-2540 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672727 | Robert G Caruso | Physical Therapist | 2236 W Main St, Norman, OK 73069-6462 | 2005-07-12 |
| 1053319194 | Mark S. Cranston | Physical Therapist | 13512 N. Eastern Ave, Ste A, Functional Performance Training and Physical Therapy, Okc, OK 73131-1812 | 2005-07-12 |
| 1417078668 | Chickasha Physical Therapy Clinic | Physical Therapist | 626 W Kansas Ave, Chickasha, OK 73018 | 2007-04-03 |
| 1851363410 | James Howard Hillis II | Physical Therapist | 180 W Brooks St, Rm E8, Norman, OK 73019-1018 | 2006-02-07 |
| 1457359283 | David E Ruhl | Physical Therapist | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2005-07-14 |
Please comment or provide details below to improve the information on IGNITE SPORTS AND REHAB OF ARDMORE INC.
| 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.