NPIMap

Organization Active NPI

Integris Ambulatory Care Corporation

Doing business as Integris Health Jim Thorpe Rehabilitation

  • Rehabilitation Clinic/Center
  • Moore, OK
National Provider Identifier
1023039187
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
INTEGRIS AMBULATORY CARE CORPORATION
Doing business as
Integris Health Jim Thorpe Rehabilitation
Practice address
1401 SW 34TH St Ste 300
Moore, OK 73160-3059
Phone
(405) 793-7885
NPI assigned
Jul 22, 2006
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael L Weed
Title
Treasurer
Phone
(405) 951-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

1401 SW 34TH St Ste 300
Moore, OK 73160-3059

Mailing address

PO Box 843754
Kansas City, MO 64184-3754
Phone (405) 252-8400

Other names 1

  • INTEGRIS HEALTH JIM THORPE REHABILITATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000788 OK Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4284546490 11 other NPIs on this enrollment
Practice locations: Oklahoma City, OK; Enid, OK; Grove, OK; Edmond, OK; Bethany, OK; Moore, OK

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Integris Int Med Central10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwest Surgical HospitalOklahoma City, OK, CCN 370192 Hospital 5% Or Greater Indirect Ownership Interest Nov 2, 2018
Lakeside Women's HospitalOklahoma City, OK, CCN 370199 Hospital 5% Or Greater Direct Ownership Interest (75%) Dec 31, 2012
McBride Orthopedic HospitalOklahoma City, OK, CCN 370222 Hospital 5% Or Greater Direct Ownership Interest (51%) Jul 1, 2024
Community HospitalOklahoma City, OK, CCN 370203 Hospital 5% Or Greater Indirect Ownership Interest Nov 1, 2018
OcomOklahoma City, OK, CCN 370212 Hospital 5% Or Greater Indirect Ownership Interest Aug 1, 2023
Integris Community Hospital -Council CrossingOklahoma City, OK, CCN 370240 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 6, 2019

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1023039187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843754",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843754",
            "telephone_number": "405-252-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW 34TH ST STE 300",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603059",
            "telephone_number": "405-793-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS AMBULATORY CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "405-951-2737"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS HEALTH JIM THORPE REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.