Texoma Physical Therapy & Rehabilitation Clinic, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TEXOMA PHYSICAL THERAPY & REHABILITATION CLINIC, LLC

Practice address

101 West Main
Tishomingo, OK 73460

Phone

(580) 371-2334

Fax

(580) 371-2351

NPI assigned

Mar 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley L. Wood

Title

Owner

Phone

(580) 371-6191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Michelle Berg, DPT

  • Physical Therapist
  • Tishomingo, OK
  • NPI 1861830978
  NPD (past)

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1043452857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734600820",
            "telephone_number": "580-371-2334",
            "fax_number": "580-371-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST MAIN",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "73460",
            "telephone_number": "580-371-2334",
            "fax_number": "580-371-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA PHYSICAL THERAPY & REHABILITATION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-371-6191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyn Michelle Stephens, LPC
• Ashley Nicole Stites, APRN, CNP
• Marion C Straub, BHRS
• Sunshine Hospice, Inc
• Ethan Wade Taylor
• Texoma Rural Health Center
• Mathew Thomas
• Mauri Millard Thomas, DDS
• Brianna Megan Thompson, MA, LPC, NCC
• Tishomingo Doctor's Medical Clinic, PC

• Physical Therapist in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.