Active NPI
Rehabcare Drtaneja PLC
- Physical Medicine & Rehabilitation Physician
- Broken Arrow, OK
National Provider Identifier
1003415522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- REHABCARE DRTANEJA PLC
- Practice address
- 1200 W Albany St
Broken Arrow, OK 74012-8146 - Phone
- (918) 744-2338
- NPI assigned
- Oct 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anand Khurana, MD
- Title
- Agent
- Phone
- (918) 779-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1200 W Albany St
Broken Arrow, OK 74012-8146
Mailing address
PO Box 1440
Jenks, OK 74037-1440
Phone (918) 779-9594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Broken Arrow, OK
- NPI 1508083676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1003415522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1440",
"city": "JENKS",
"state": "OK",
"postal_code": "740371440",
"telephone_number": "918-779-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W ALBANY ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128146",
"telephone_number": "918-744-2338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABCARE DRTANEJA PLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "KHURANA",
"authorized_official_first_name": "ANAND",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "918-779-5550",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.